Medula
Vol 10 No 3 (2020): Medula

LAPORAN KASUS : OBSTRUKSI INTESTINAL TOTAL YANG DISEBABKAN OLEH ENDOMETRIOSIS INTESTINAL DAN ENDOMETRIOSIS UTERUS PADA WANITA 43 TAHUN DI RUMAH SAKIT ABDUL MOELOEK LAMPUNG

Risal Wintoko (Universitas Lampung)
Wina Nazula Makrufa (Universitas Lampung)



Article Info

Publish Date
27 Dec 2020

Abstract

Intestinal endometriosis is a disorder where the endometrium glands and stroma grow outside the uterus. Endometriosis could involve various intraperitoneal and extraperitoneal organs. Endometriosis occurs on the gastrointestinal organs in 3-15% women in reproductive age. The most common organs involved were rectosigmoid colon (71%), appendix (19%), terminal ileum (6.7%), caecum (5.5%) and transversal colon. Endometriosis mostly occurs in age group 40-44 years old (26,4%). Symptoms that usually happen in endometriosis are bleeding outside the menstrual cycle, pain during menstruation, pain during intercourse, pain during defecation, and pain during urination. In addition, usually there is pain on the hips before menstruation. Symptoms of intestinal endometriosis are pain on the abdomen and pelvis, constipation, diarrhea, enlarged abdomen, mucus in the stool, rectal bleeding, nausea, vomiting and intestinal obstruction. In this case report, a 43 years old woman with total intestinal obstruction due to intestinal endometriosis and uterine endometriosis. Patient were given laparotomy and found cystic masses in ileum, mesentrium, caecum, and uterus. Therapies given in this case are hysterectomy, resection of the terminal ileum until tranversal colon, and as well as end-to-end anastomose ileum and transversal colon. After a successful surgical therapy, hormonal suppression therapy is given to prevent recurrence.

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Journal Info

Abbrev

medula

Publisher

Subject

Education Medicine & Pharmacology Neuroscience Public Health

Description

Medical Profession Journal of Lampung didirkan pada tahun 2013. Medula hadir memenuhi kebutuhan publikasi jurnal bagi mahasiswa Fakultas Kedokteran, Dosen ataupun klinisi dan profesi lain dibidang kedokteran. Medula diterbitkan dengan frekuensi 4 kali dalam setahun yang tiap nomornya mencakup 30 ...