Complicated Mackle’s Diverticulitis and occlusive intestinal endometriosis. Case Presentation

Authors

Keywords:

intestinal endometriosis, Mackle’s diverticulitis, intestinal occlusion, intestinal perforation

Abstract

Mackle’s Diverticulitis corresponds to a subtype of the small intestine. Endometriosis is a gynecological disease, caused by the presence of functional endometrial tissue, out of the uterine cavity. The objective is to show this case because it is infrequent to coincide these two entities in a complicated way. A 35-year-old female patient goes to the hospital complaining of pain, abdominal distension and no expulsion of feces or gases. She was operated and complicated Mackle’s diverticulitis, intestinal perforation and a colon recto sigmoidal lesion were found, in the serviette ring with posterior histopathology confirmation of intestinal endometriosis. Endometriosis is a disease that impacts the life quality of the patients who suffer from it, the colorectal compromise is not frequent and when it appears, it is many times invalidating. In the context of benign diseases, there is a tendency towards conservative surgical techniques, but in this case a radical surgery is performed because of the way of its emergency presentation.

Downloads

Download data is not yet available.

Author Biographies

Alberto Suárez Cuevas, Instituto Nacional de Oncología y Radiobiología. La Habana.

Especialista de I grado en Cirugía General y Medicina General Integral. Investigador Agregado. Asistente. Instituto de Oncología y Radiobiología. Facultad de Ciencias Médicas ¨Manuel Fajardo¨. La Habana,

Anabel Meneses Blanco, Hospital Clínico Quirúrgico General Freyre de Andrade. La Habana.

Especialista de I grado de Cirugía General. Investigadora Aspirante. Hospital Clínico Quirúrgico General Freyre de Andrade. La Habana.

Miriam Carrera Iglesias, Hospital Clínico Quirúrgico General Freyre de Andrade. La Habana.

Especialista de I grado en Cirugía General. Asistente. Facultad de Ciencias Médicas ¨General Calixto García¨. La Habana.

References

Townsend, Courtney M, Beauchamp R, Daniel, Evers B, Mark, Mattox Kenneth L. Sabiston. Tratado de Cirugía. Fundamentos biológicos de la práctica quirúrgica moderna. 21 edición. España: Elsevier; 20; (70): 2040. Disponible en: https://www.clinicalkey.es/#!/browse/book/3-s2.0-C20160026128

Żyluk A. Management of incidentally discovered unaffected Meckel’s diverticulum – a review. Pol Przegl Chir[Internet]. 2019[citado 11 Abr 2023]; 91 (6): 41–6 Disponible en: https://ppch.pl/resources/html/article/details?id=191167&language=en

Rahmat S, Sangle P, Sandhu O, Aftab Z, Khan S. Does an Incidental Meckel's Diverticulum Warrant Resection? Cureus[Internet]. 2020[citado 18 May 2023];12(9): e10307. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7480780/pdf/cureus-0012-00000010307.pdf

Whittle PC, Schiappacasse FG, Leal ME, Franz G, Hasson AD, Maldonado I, et al. Imágenes en divertículos del tubo digestivo: Localizaciones infrecuentes. Serie de casos. Rev Chil Radiol [Internet]. 2018 Jul [citado 18 May 2023 ] ; 24( 2 ): 67-78. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-93082018000200067&lng=es.

Soler Vaillant R, Mederos Curbelo O. Cirugía. Afecciones quirúrgicas frecuentes[Internet]. La Habana: Editorial Ciencias Médicas; 2018. T-2.[citado 18 May 2023 ] Disponible en: http://www.bvs.sld.cu/libros/cirugia_afeccionesquirurgicas_tomoii/cirugia_afec_quirurg_tomo2.pdf

Agustina Casas María, Bun Maximiliano. Manejo Quirúrgico de la Endometriosis Colorrectal. Monografía destacada del curso de la SACP 2019. Revista Argentina de Coloproctología[Internet]. 2020[citado 18 May 2023 ] ; 31(2): 54-62 Disponible en: https://www.revistasacp.com/index.php/revista/article/view/26/22

Soltero MJ, Bill AH. The natural history of Meckel's Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's Diverticulum found in King County, Washington, over a fifteen year period. Am J Surg[Internet].1976[citado 18 May 2023 ] ;132(2):168-73. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/000296107690043X?via%3Dihub

Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ. Surgical management of Meckel's diverticulum. An epidemiologic, population-based study. Ann Surg[Internet]. 1994[citado 18 May 2023 ];220(4):564-8.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1234434/

Zani A, Eaton S, Rees CM, Pierro A. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg[Internet]. 2008[citado 18 May 2023 ];247(2):276-81. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18216533/

Daniilidis A, Angioni S, Di Michele S, Dinas K, Gkrozou F, D’Alterio MN. Deep Endometriosis and Infertility: What Is the Impact of Surgery? J Clin Med.2022; 11(22):6727. doi: https://www.mdpi.com/2077-0383/11/22/6727

Donnez O. Conservative Management of Rectovaginal Deep Endometriosis: Shaving Should Be Considered as the Primary Surgical Approach in a High Majority of Cases. J Clin Med. 2021; 10(21):5183. doi: https://doi.org/10.3390/jcm10215183

Risal W, Wina Nazula M. Total Intestinal Obstruction Due To Intestinal Endometriosis And Uterine Endometriosis In 43 Year Old Woman At Abdoel Moloek Hospital Lampung. Méd Prof J Of Lampung [Internet]. 2020 [citado18 May 2023];10(3):533-8. Disponible en: https://www.journalofmedula.com/index.php/medula/article/view/115

Casas SGL, Spagnolo E, Saverio SD, Álvarez-Gallego M, Carrasco AL, López MC, et al. Short-term outcomes in patients undergoing laparoscopic surgery for deep infiltrative endometriosis with rectal involvement: a single-center experience of 168 cases. Ann Coloproctol[Internet]. 2022[citado18 May 2023];s/v, s/v. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35255203/

Published

2023-07-05

How to Cite

1.
Suárez Cuevas A, Meneses Blanco A, Carrera Iglesias M. Complicated Mackle’s Diverticulitis and occlusive intestinal endometriosis. Case Presentation. Medimay [Internet]. 2023 Jul. 5 [cited 2024 Nov. 5];30(2):233-7. Available from: https://medimay.sld.cu/index.php/rcmh/article/view/2236

Issue

Section

CASE REPORTS

Most read articles by the same author(s)