Epigastric pain relating to menses can be a symptom of bowel endometriosis
CONTEXT AND OBJECTIVE: Endometriosis is a common affliction that may affect the intestinal tract. The objective of this case report was to describe an unusual clinical presentation of this form of the disease. CASE REPORT: The patient was a 35-year-old woman with epigastric pain that only occurred d...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400012&lng=en&tlng=en |
| _version_ | 1828342003034750976 |
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| author | Sergio Podgaec Manoel Orlando Gonçalves Sidney Klajner Mauricio Simões Abrão |
| author_facet | Sergio Podgaec Manoel Orlando Gonçalves Sidney Klajner Mauricio Simões Abrão |
| author_sort | Sergio Podgaec |
| collection | DOAJ |
| description | CONTEXT AND OBJECTIVE: Endometriosis is a common affliction that may affect the intestinal tract. The objective of this case report was to describe an unusual clinical presentation of this form of the disease. CASE REPORT: The patient was a 35-year-old woman with epigastric pain that only occurred during menstruation, who had a history of bladder endometriosis. Endoscopy of the upper digestive tract showed normal results. Transvaginal ultrasound and nuclear magnetic resonance of the pelvis showed a lesion involving the ileocecal junction and appendix, measuring 30 x 22/x/13/mm, that was suggestive of endometriosis. The patient underwent laparoscopic resection of the bowel segment affected by the disease, followed by anastomosis of the ileum and ascending colon for immediate restoration of intestinal transit. Histological analysis confirmed the diagnosis of endometriosis. CONCLUSIONS: In young women, recurrent epigastric pain should be evaluated with regard to its relationship to menstruation, particularly if there is a history of endometriosis, since this may be a clinical sign that the disease is affecting the intestinal transit. |
| first_indexed | 2024-04-13T23:23:23Z |
| format | Article |
| id | doaj.art-68b6f57270a7480faa305b260dc4de47 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-04-13T23:23:23Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-68b6f57270a7480faa305b260dc4de472022-12-22T02:25:10ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460126424224410.1590/S1516-31802008000400012S1516-31802008000400012Epigastric pain relating to menses can be a symptom of bowel endometriosisSergio Podgaec0Manoel Orlando Gonçalves1Sidney Klajner2Mauricio Simões Abrão3Hospital Israelita Albert EinsteinHospital Israelita Albert EinsteinHospital Israelita Albert EinsteinHospital Israelita Albert EinsteinCONTEXT AND OBJECTIVE: Endometriosis is a common affliction that may affect the intestinal tract. The objective of this case report was to describe an unusual clinical presentation of this form of the disease. CASE REPORT: The patient was a 35-year-old woman with epigastric pain that only occurred during menstruation, who had a history of bladder endometriosis. Endoscopy of the upper digestive tract showed normal results. Transvaginal ultrasound and nuclear magnetic resonance of the pelvis showed a lesion involving the ileocecal junction and appendix, measuring 30 x 22/x/13/mm, that was suggestive of endometriosis. The patient underwent laparoscopic resection of the bowel segment affected by the disease, followed by anastomosis of the ileum and ascending colon for immediate restoration of intestinal transit. Histological analysis confirmed the diagnosis of endometriosis. CONCLUSIONS: In young women, recurrent epigastric pain should be evaluated with regard to its relationship to menstruation, particularly if there is a history of endometriosis, since this may be a clinical sign that the disease is affecting the intestinal transit.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400012&lng=en&tlng=enEndometriosisIntestinesLaparoscopyDiagnosisTherapeutics |
| spellingShingle | Sergio Podgaec Manoel Orlando Gonçalves Sidney Klajner Mauricio Simões Abrão Epigastric pain relating to menses can be a symptom of bowel endometriosis São Paulo Medical Journal Endometriosis Intestines Laparoscopy Diagnosis Therapeutics |
| title | Epigastric pain relating to menses can be a symptom of bowel endometriosis |
| title_full | Epigastric pain relating to menses can be a symptom of bowel endometriosis |
| title_fullStr | Epigastric pain relating to menses can be a symptom of bowel endometriosis |
| title_full_unstemmed | Epigastric pain relating to menses can be a symptom of bowel endometriosis |
| title_short | Epigastric pain relating to menses can be a symptom of bowel endometriosis |
| title_sort | epigastric pain relating to menses can be a symptom of bowel endometriosis |
| topic | Endometriosis Intestines Laparoscopy Diagnosis Therapeutics |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400012&lng=en&tlng=en |
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