30/01/2026
๐๐ก๐๐ง ๐๐ง๐๐จ๐ฆ๐๐ญ๐ซ๐ข๐จ๐ฌ๐ข๐ฌ ๐ ๐จ๐๐ฌ ๐ฎ๐ง๐๐ข๐๐ ๐ง๐จ๐ฌ๐๐ ๐๐จ๐ซ ๐จ๐ฏ๐๐ซ ๐๐ ๐ฒ๐๐๐ซ๐ฌ
โOne of the most dramatic endometriosis cases weโve treated last year was a 35-year-old patient who presented in our center with a complex medical history. She was being treated for stomach-related symptoms for 15 years, having suffered multiple open abdominal surgeries, including an emergency surgery for intestinal occlusion. The patient was diagnosed in our center with stage 4 rASF Endometriosis, ovarian endometriosis, bowel endometriosis (colo-rectal, ileum), pelvic pain syndrome, pelvic adherential syndrome.
โThe MRI confirmed the diagnosis and revealed the true nature of the patientโs suffering:
๐ดthree proximal sigmoid endometriosis nodules, in the area of left ovarian adhesion, almost in continuity, with involvement of the muscularis
๐ดmultiple endometriosis nodules at the level of the pelvic ileal loops (at least 5), with localization in the right iliac fossa and supravesical, which involves multiple intestinal loops and determines their adhesion, the largest being the right paramedian supravesical, with a thickness of about 25 mm and a length of about 45 mm, all with the involvement of the muscularis
๐ดpelvic ileum with an appearance of alternation of stenotic areas secondary to endometriotic infiltration and distended, stasis areas, with fluid content (appearance suggestive of subocclusive syndrome)
โThe surgery lasted for 10 hours and almost half of our team was needed in the OR. The severity of the case required a mini laparotomy during which our team reconstructed the integrity of the digestive tract.
The patient is still facing challenges in her recovery, as the severity of the disease has affected her digestive function. The road ahead is long and difficult, but she remains brave and determined to return to a normal life. โWe cannot emphasize enough the importance of a timely and accurate diagnosis, as well as appropriate surgical treatment.