STAGE IV EXTERNAL GENITAL ENDOMETRIOSIS WITH INVOLVEMENT OF THE RECTUM AND LEFT URETER, LEFT HYDRONEPHROSIS: A MULTIDISCIPLINARY APPROACH

Galliamov, E.; Biktimirov, R.; Kakotkin, V.; Kubyshkin, V.

Авторы: Galliamov E., Biktimirov R., Kakotkin V., Kubyshkin V.
Сборник: 28th International Congress of the European Association for Endoscopic Surgery (EAES) Virtual Congress 23–26 June 2020
Том: 34
Тезисы
Год издания: 2020
Место издания: Springer Science and Business Media LLC
Первая страница: 131
Последняя страница: 131
DOI: 10.1007/s00464-020-07834-8
Аннотация: Endometriosis is a disease of reproductive-aged women, which cannot only cause chronic pelvic pain or infertility, but also affect thepelvic organs that are not directly related to the reproductive system.Involvement in the pathological process of the rectum, bladder orureter significantly reduces the quality of life of the patient. Thisdisorder can also lead to fatal complications and requires a multidisciplinary approach. The 27-year-old patient admitted to the clinicin October 2019 with complaints of chronic pelvic pain, the presenceof nephrostoma, the inability to get pregnant for 4 years. Shortanamnesis of the disease is presented below. The patient was failingto conceive for a 4 years: from 2015 to 2019. According to pelvicMRI in September 2019—cystic formation 13x9x13 cm with hemorrhagic content in the left ovary, compression of the lower third ofthe left ureter with the dilation of the upper part to 13 mm, ill-definedinfiltrative tissue, hypointense on T2-weighted images in the retrocervical space involving the wall of the rectum. A left nephrostomywas performed in September 2019. In our clinic, with the participation of a multidisciplinary team (gynecologist, urologist,coloproctologist) in order to preserve ovarian reserve and fertility, thelaparoscopic excision of endometriod infiltrate, circular resection ofthe rectum, resection of the left ureter with ureterocystostomy on theleft, resection of the left ovary was performed in October 2019. Theduration of the surgery was 245 min, the volume of blood loss - 700ml. The patient had to stay at the intensive care unit for 16 h. Enteralfeeding was initiated on the third day postoperatively. The urethralcatheter was removed on day 10. The patient was discharged from thedepartment on the 11-th day after surgery. The nephrostomy catheterwas removed after 30 days. Currently, the patient is sent to the centerof reproduction for in vitro fertilization. The presented clinical caseshows the potential of laparoscopic surgery in the treatment ofadvanced external genital endometriosis. Maintaining fertility inwomen of childbearing age and achieving maximum radical surgicaltreatment is possible only with a multidisciplinary approach.
Добавил в систему: Какоткин Виктор Викторович

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STAGE IV EXTERNAL GENITAL ENDOMETRIOSIS WITH INVOLVEMENT OF THE RECTUM AND LEFT URETER, LEFT HYDRONEPHROSIS: A MULTIDISCIPLINARY APPROACHтезисы доклада Тезисы

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