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Slama L, El Filali A, Rhazi R, Taheri H, Saadi H, Bouziane M, Mimouni A. Deep endometriosis of ileocecum complicated by acute intestinal obstruction: a case report. J Int Med Res 2023; 51:3000605231191584. [PMID: 38082449 PMCID: PMC10718053 DOI: 10.1177/03000605231191584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 06/21/2023] [Indexed: 12/18/2023] Open
Abstract
Endometriosis is a frequent gynecological pathology. Digestive localization complicated by acute intestinal obstruction is exceptionally rare. We herein report a case involving a 48-year-old woman who had a long-term history of endometriosis symptoms. She was diagnosed with endometriosis by ultrasound 1 month before her admission to the emergency room with acute intestinal obstruction. The diagnosis was confirmed by histopathological examination following surgical resection. Further medical management resulted in a satisfactory outcome.
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Affiliation(s)
- Loubna Slama
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
| | - Amal El Filali
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
| | - Reda Rhazi
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
| | - Hafsa Taheri
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
| | - Hanane Saadi
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
| | - Mohammed Bouziane
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
| | - Ahmed Mimouni
- Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Mohammed VI, Oujda, Morocco
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Liu YN, Kang JW, Zhang Y, Song SS, Xu QX, Zhang H, Lu L, Wei SW, Liang C, Su RW. Vanillin prevents the growth of endometriotic lesions through anti-inflammatory and antioxidant pathways in a mouse model. Food Funct 2023. [PMID: 37409688 DOI: 10.1039/d3fo00750b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
Endometriosis is an estrogen-dependent chronic inflammatory gynecological disease defined by the presence of endometrial glands and mesenchyme outside the uterine cavity, named ectopic endometrium. Recent studies showed that endometriosis is associated with hormone imbalance, inflammation and oxidative stress. As the main component of vanilla bean extract, vanillin is widely used as a flavoring agent in the food, pharmaceutical, and cosmetic industries. It is known for its anti-inflammatory, antibacterial, and antitumor properties, but its therapeutic efficacy in endometriosis has not been studied. In this study, we evaluated the roles of vanillin in this disease using an induced endometriotic mouse model. The results showed that vanillin significantly inhibited the growth of endometrial lesions. Compared with the control group, the weight and volume of lesions were reduced considerably in the vanillin-treated group, showing its fantastic ability to inhibit cell proliferation and promote apoptosis. In addition, in the treatment group, mRNA expression of the pro-inflammatory cytokines Tnfa, Infg, Il1b, and Il6 was reduced, the number of macrophages and neutrophils was decreased, and the NF-κB signaling pathway was inhibited, indicating that vanillin suppressed the inflammatory response in the ectopic endometrium. Besides, we found that the intensity of tissue reactive oxygen species (ROS) was significantly lower, and mitochondrial complex IV expression was reduced in the vanillin-treated group. Meanwhile, treatment of the immortalized human endometriotic epithelial cell line (11Z) with vanillin resulted in the downregulation of cyclin genes that drive the cell proliferation process, inhibited cell proliferation, promoted apoptosis, and downregulated the expression of LPS-induced inflammatory cytokines. Most importantly, our data showed that the vanillin treatment had only minimal effects on the eutopic endometrium with respect to the pregnancy process, indicating its safety to be used in treating endometriosis in adults. In conclusion, our data suggest that vanillin has potential therapeutic properties for endometriosis as a regulatory molecule of cell proliferation, apoptosis, inflammation, and oxidative stress.
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Affiliation(s)
- Ying-Nan Liu
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Jin-Wen Kang
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Yu Zhang
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Shan-Shan Song
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Qi-Xin Xu
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Han Zhang
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Lei Lu
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Shu-Wen Wei
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Chen Liang
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
| | - Ren-Wei Su
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong, China.
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Bourdel N, Comptour A, Bouchet P, Gremeau AS, Pouly JL, Slim K, Pereira B, Canis M. Long-term evaluation of painful symptoms and fertility after surgery for large rectovaginal endometriosis nodule: a retrospective study. Acta Obstet Gynecol Scand 2017; 97:158-167. [PMID: 29143306 DOI: 10.1111/aogs.13260] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Accepted: 10/23/2017] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Optimal surgical treatment of rectovaginal endometriosis remains a controversial topic. The objective of this study was to evaluate long-term postoperative outcomes after rectal shaving or colorectal resection for rectovaginal endometriosis. MATERIAL AND METHODS 195 patients underwent surgery (172 managed by shaving, 23 by colorectal resection) between January 2000 and June 2013 for rectovaginal endometriosis (>2 cm) involving at least the serosa of the rectum. Primary outcome measures were pain and fertility. Secondary outcome measures were complications, recurrence rates and quality of life. RESULTS Mean follow-up was 60 ± 42 months in the shaving group and 67 ± 47 months in the resection group. The mean VAS score for pelvic pain between the pre and postoperative period decreased from 5.5 ± 3.5 (shaving group) and 7.3 ± 2.9 (resection group) to 2.3 ± 2.4 (p < 0.001) and 2.0 ± 1.8 (p < 0.001), respectively. For dysmenorrhea, the mean baseline VAS score fell postoperatively from 7.7 ± 2.8 (shaving group) and 8.2 ± 2.6 (resection group) to 3.3 ± 2.9 (p < 0.001) and 2.7 ± 2.7 (p < 0.001), respectively. Pregnancy rates were 73% for shaving and 69% for resection. Major complications occurred in 4% of patients in the shaving group and in 26% in the resection group (p = 0.001). Thirteen patients (7.6%) from the shaving group and none from the resection group were reoperated for suspicion of endometriosis recurrence (p = 0.37). Postoperative quality of life scores revealed no differences between the two groups. CONCLUSION Our study demonstrates that rectal shaving, when feasible for rectovaginal nodule (>2 cm) infiltrating the digestive serosa, has equal impact on pain and pregnancy rates compared with colorectal resection at long-term follow-up, with low complication and favorable pregnancy rates.
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Affiliation(s)
- Nicolas Bourdel
- Gynecological Surgery Service, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Aurélie Comptour
- Gynecological Surgery Service, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Paméla Bouchet
- Gynecological Surgery Service, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Anne-Sophie Gremeau
- Gynecological Surgery Service, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Jean-Luc Pouly
- Gynecological Surgery Service, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Karem Slim
- Service of Hepato Gastro Enterology, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Units (DRCI), CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
| | - Michel Canis
- Gynecological Surgery Service, CHU University Hospital Clermont-Ferrand, Clermont-Ferrand, France
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Doh K, Thiam I, Ka S, Dial C, Woto-Gaye G. [Rectal endometriosis: An exceptional etiology of acute intestinal occlusion]. Ann Pathol 2016; 36:412-414. [PMID: 27079729 DOI: 10.1016/j.annpat.2015.11.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 08/05/2015] [Accepted: 11/12/2015] [Indexed: 11/25/2022]
Abstract
The intestinal occlusion acute is an emergency and therapeutic diagnostic. A rectal tumor is rarely the cause in a young adult. We are carrying the case of a patient of 43years old, received at emergency on a board of intestinal occlusion acute due to a rectal tumor of a fortuitous discovery during the operation. The final diagnosis after a histopathologic examination was for the less unexpected. It was rectal endometriosis in its tumor-like. A complementary medical care obtains satisfactory results.
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Affiliation(s)
- Kwame Doh
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal.
| | - Ibou Thiam
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal.
| | - Sidy Ka
- Service des urgences chirurgicales, hôpital régional de Thiès, Thiès, Sénégal.
| | - Cherif Dial
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal.
| | - Gisèle Woto-Gaye
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal
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Postoperative pelvic pain: An imaging approach. Diagn Interv Imaging 2015; 96:1065-75. [DOI: 10.1016/j.diii.2015.07.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Accepted: 07/24/2015] [Indexed: 01/21/2023]
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Rectal Endometriosis: An Exceptional Cause of Large-Bowel Obstruction. JOURNAL OF ENDOMETRIOSIS AND PELVIC PAIN DISORDERS 2015. [DOI: 10.5301/je.5000223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Acute large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. A rectal tumor is rarely the cause in a young adult. We report the case of a 43-year-old patient who received emergency surgery for an LBO. A rectal tumor was fortuitously discovered during the operation. However, histopathologic examination revealed that the tumor-like mass was in fact rectal endometriosis. Appropriate medical care was established and obtained satisfactory results.
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Giugliano E, Cagnazzo E, Soave I, Lo Monte G, Wenger JM, Marci R. The adjuvant use of N-palmitoylethanolamine and transpolydatin in the treatment of endometriotic pain. Eur J Obstet Gynecol Reprod Biol 2013; 168:209-13. [PMID: 23415738 DOI: 10.1016/j.ejogrb.2013.01.009] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Revised: 12/26/2012] [Accepted: 01/16/2013] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To test the adjuvant use of the combination of N-palmitoylethanolamine and transpolydatin in the medical treatment of endometriotic pain. STUDY DESIGN We enrolled 47 patients admitted to the Outpatient Endometriosis Care Unit of Ferrara University from January 2011 to December 2011. They were divided into two groups according to the endometriosis site (group A: recto-vaginal septum; group B: ovary). One tablet, containing 400 mg of micronized N-palmitoylethanolamine plus 40 mg transpolydatin, was administered twice daily on a full stomach for 90 days. Each patient was requested to grade the severity of dysmenorrhea, chronic pelvic pain, dyspareunia and dyschezia using a 0-10 cm visual analogic scale prior to beginning treatment (T0), after 30 days (T1), 60 days (T2) and 90 days (T3). The continuous and categorical variables were compared, respectively, using Student's t-test and the chi-square test. Analysis of variance for repeated measures was used to verify the reduction of endometriotic pain. RESULTS The intensity of endometriotic pain decreased significantly for both groups (p<0.0001). The efficacy of drug treatment was significant after 30 days. Pain intensity decreased equally in the two groups except for dysmenorrhea, which was reduced more rapidly in group B. CONCLUSIONS The combination of N-palmitoylethanolamine and transpolydatin reduced pain related to endometriosis irrespective of lesion site. It had a marked effect on chronic pelvic pain determined by deep endometriosis and on dysmenorrhea correlated to ovarian endometriosis.
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Affiliation(s)
- Emilio Giugliano
- Department of Biomedical Sciences and Advanced Therapies, University of Ferrara, Ferrara, Italy
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Bourdel N, Roman H, Mage G, Canis M. Chirurgie des endométriomes ovariens : de la physiopathologie à la prise en charge pratique pré-, per- et postopératoire. ACTA ACUST UNITED AC 2011; 39:709-21. [DOI: 10.1016/j.gyobfe.2011.07.051] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2011] [Accepted: 07/28/2011] [Indexed: 11/25/2022]
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Current world literature. Curr Opin Obstet Gynecol 2011; 23:301-5. [PMID: 21734502 DOI: 10.1097/gco.0b013e3283491e27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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