PMC3021310_01
Cecal segment invaginated within the colon. Tumefaction at cecum is evident, compatible with endometriotic nodule, macroscopically suspected from subserous blood accumulation. Remaining ileal and colic invagination described in the text was resolved for the most part after hemicolectomy.
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F1
The patient also had extensive ileo-colic and colonic invagination (Figure 1) as far as under the hepatic flexure with distension and cyanosis of the small intestine above the invaginated section.
Ascending colon incised lengthwise. To the left, a large nodule of the intestinal wall at the cecum.
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PMC3021310_01_jsls-14-1-140-g02.jpg
F2
Laparoscopic debulking of the endometriosis was thus begun by excising the endometriotic pelvic nodules, the right tube, the recto-sigma, (which required opening of the posterior vaginal fornix, where an endometriotic nodule was found), followed by right hemicolectomy (Figure 2).