Department of Gynaecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
Institute of Pathology and Neuropathology and Comprehensive Cancer Center Tübingen, University Hospital Tübingen, Eberhard-Karls-University, 72076, Tübingen, Germany.
BMC Pregnancy Childbirth. 2022 Aug 17;22(1):647. doi: 10.1186/s12884-022-04973-9.
An acute abdomen is an emergency that requires accurate diagnosis and prompt treatment. In pregnancy, the process is even more challenging and sometimes the radiological findings are unclear. Moreover, endometriosis- related complications are rare, especially in previously unknown endometriosis.
We report on a case of acute endometriosis-related sigmoid perforation during pregnancy (34 weeks of gestation) due to a previously unknown deep intestinal infiltrating endometriosis with focal ulceration of the affected colonic mucosa.
Despite the low relative risk, clinicians should be aware of possible endometriosis-associated complications in pregnancy with potentially life-threatening events, even in previously unknown endometriosis. Further studies should evaluate intestinal complications during pregnancy in relation to previous treatment of intestinal endometriosis (conservative vs. surgical).
急性腹痛是一种需要准确诊断和及时治疗的急症。在妊娠期间，这个过程更加具有挑战性，有时影像学检查结果并不明确。此外，子宫内膜异位症相关的并发症较为罕见，尤其是在既往未知的子宫内膜异位症中。
我们报告了一例妊娠（34 周）期间急性子宫内膜异位症相关乙状结肠穿孔的病例，其原因为既往未知的深部肠道浸润性子宫内膜异位症，伴有受累结肠黏膜局灶性溃疡。
尽管相对风险较低，但临床医生应意识到即使是既往未知的子宫内膜异位症，也可能出现危及生命的潜在并发症。进一步的研究应该评估与肠道子宫内膜异位症（保守治疗与手术治疗）相关的妊娠期间的肠道并发症。
