Endometriosis is a common benign gynecologic condition. When it occurs during pregnancy, the symptoms typically lessen. Endometriosis-associated, spontaneous sigmoid-colon rupture in pregnancy is extremely rare and requires a surgical solution.
Case:
A woman 30½ weeks pregnant developed an acute abdomen and fetal distress. During a cesarean section, a ruptured sigmoid colon was discovered and a colostomy was placed.
Results:
Postoperatively, this patient developed exudative bilateral pleural effusions that required thoracentesis.
Conclusions:
Endometriosis is a rare cause of sigmoid-colon perforation in pregnancy and can occur even when there is no history of endometriosis. (J GYNECOL SURG 34:40)
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