| CASE REPORT |
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| Year : 2021 | Volume
: 10
| Issue : 4 | Page : 265-267 |
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Laparoscopic “Shaving” for infiltrative external adenomyosis of bowel muscularis and concomitant deep infiltrating endometriosis
Kuan- Lin Wu1, Peng Teng Chua2, Chyi- Long Le1
1 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan
2 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan; Mahkota Medical Centre, Melaka, Malaysia
Correspondence Address:
Prof. Chyi- Long Le
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, No. 5, Fu-Hsin Street, Kweishan, Taoyuan
Taiwan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/GMIT.GMIT_27_20
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Deep infiltrating endometriosis (DIE) is a common finding in patients diagnosed with adenomyosis. Women commonly present with severe, incapacitating dysmenorrhea. We report a case of severe dysmenorrhea and lower abdominal tightness for 4 years, diagnosed with posterior adenomyosis. The patient underwent surgery and DIE involving the rectosigmoid and coexisting uterocervical adenomyosis infiltrating bowel muscularis successfully diagnosed and treated using laparoscopic “shaving” technique. Dysmenorrhea significantly resolved after surgery. Laparoscopic surgical “shaving” technique for external adenomyosis infiltrating Rectosigmoid muscularis is feasible, where uterine preservation is desired.
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