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Obstructive rectal endometriosis treated by robot-assisted laparoscopic surgery: a case report

Authors
  • Kuriyama, Naotaka1
  • Ando, Koji1
  • Hu, Qingjiang1
  • Miyashita, Yu1
  • Fujimoto, Yoshiaki1
  • Jogo, Tomoko1
  • Hokonohara, Kentaro1
  • Nakanishi, Ryota1
  • Hisamatsu, Yuichi1
  • Kimura, Yasue1
  • Tsurumaru, Daisuke1
  • Kohashi, Kenichi1
  • Oda, Yoshinao1
  • Oki, Eiji1
  • Nishimura, Masataka2
  • Mori, Masaki1
  • 1 Kyushu University, 3-1-1 Maidashi, Fukuoka, Fukuoka, 812-8582, Japan , Fukuoka (Japan)
  • 2 Nishimura Icho-Naika Clinic, 2-5-5 Hirao, Fukuoka, Fukuoka, 810-0014, Japan , Fukuoka (Japan)
Type
Published Article
Journal
Surgical Case Reports
Publisher
Springer Berlin Heidelberg
Publication Date
Aug 14, 2020
Volume
6
Issue
1
Identifiers
DOI: 10.1186/s40792-020-00977-9
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundRectal endometriosis is a rare disease. A definitive diagnosis prior to surgery is often difficult. We encountered a patient with rectal sub-obstructive endometriosis that was treated by robot-assisted laparoscopic low anterior resection.Case presentationA 43-year-old woman visited our hospital with suspected stenosis caused by upper rectal cancer. She had a 2-year history of constipation. We were unable to confirm the diagnosis through detailed examinations, including laparoscopy. Robot-assisted laparoscopic low anterior resection with D3 lymph node dissection was performed for both diagnosis and treatment. The postoperative specimen showed a submucosal tumor. The pathological examination confirmed rectal endometriosis.ConclusionsWe herein describe a rare case of obstructive rectal endometriosis that we were unable to diagnose preoperatively. Robotic surgery was useful in this case, which involved extensive pelvic adhesion.

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