%0 Journal Article
%T Obstrucci車n intestinal debido a endometriosis ileal: reporte de un caso y revisi車n bibliogr芍fica
%A Hermann Barquero Melchor
%A Melissa Delgado Castro
%J Acta M谷dica Costarricense
%D 2003
%I Colegio de M谷dicos y Cirujanos de Costa Rica
%X La obstrucci車n del intestino delgado es uno de los padecimientos abdominales m芍s frecuentemente atendidos en el servicio de urgencias. Es un s赤ndrome con m迆ltiple s causas, una particularmente interesante es la endometriosis intestinal, la cual ocurre hasta en el 37% de 1 as pacientes con endometriosis. La vasta mayor赤a de pacientes no experimenta s赤ntomas relacionados con el tracto gastrointestinal. Presentamos aqu赤 el caso de una mujer de 34 a os con obstrucci車n intestinal secundaria a endometriosis. Requiri車 resecci車n quir迆rgica con anastomosis primaria. La evaluaci車n patol車gica demostr車 endometriosis extensa del intestino delgado, que produc赤a obstrucci車n completa. Tuvo una lento postoperatorio y requiri車 una laparotom赤a e ileostom赤a, debido a dehiscencia de la anastomosis. Este informe ilumina las raras, aunque significativas complicaciones de la endometriosis intestinal, incluyendo la obstrucci車n intestinal. La endometriosis intestinal debe considerarse en el diagn車stico diferencial de aquellas pacientes con obstrucci車n intestinal en edad reproductiva. Small bowel obstruction is one of the most common abdominal urgencias seen in the emergency room. lt is a syndrome due to many causes, a particularly rare one is intestinal envolvement by endometriotic tissue which occurs in up to 37% of patients with endometriosis. The vast majority of patients do not experience symptoms related to the gastrointestinal tract. We present here the case of a 34-year-old woman with intestinal obstruction secondary to endometriosis. She underwent surgical resection with primary anastomosis. Pathologic evaluation showed extensive endometriosis of the small bowel which resulted in complete obstruction of the lumen. Postoperatively, the patient recovered slowly and required an ileostomy due to dehiscence of the anastomosis. This report illuminates the rare, yet significant, complications of intestinal endometriosis, including small bowel obstruction. One should consider the possibility of intestinal endometriosis in the differential diagnosis of bowel obstruction in women of childbearing age.
%K Endometriosis
%K obstrucci車n intestinal
%U http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022003000300006