title: A multidisciplinary, minimally invasive approach for complicated deep infiltrating endometriosis.
abstract: OBJECTIVE
  To present a case of complicated deep infiltrating endometriosis managed by a multidisciplinary minimally invasive approach.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary care university hospital.
  
  
  METHODS
  A 32-year-old woman with deep infiltrating endometriosis involving the rectovaginal septum, the rectum, and the left ureter, complicated by silent left renal function loss.
  
  
  METHODS
  Laparoscopic left nephrectomy, ureterectomy, excision of a left ovarian endometrioma, removal of a large rectovaginal nodule, and segmental bowel resection with minilaparotomic end-to-end anastomosis.
  
  
  METHODS
  Multidisciplinary diagnosis and minimally invasive surgical approach to deep infiltrating endometriosis involving the rectum and the urinary tract.
  
  
  RESULTS
  Collaboration between gynecologists, urologists, and colorectal surgeons enabled a successful management of the case in one surgical intervention providing minor risk of complications, shorter hospital stay, and faster functional recovery.
  
  
  CONCLUSIONS
  Deep infiltrating endometriosis is a global pathology that may involve different structures. A multidisciplinary, minimally invasive approach should be recommended to achieve appropriate disease management.
authors: Minimally Invasive Gynecological Surgery Unit, Reproductive Medicine Unit, S. Orsola Hospital, University of Bologna, Italy. seracchioli@aosp.bo.it
authors: Renato
authors: R
authors: Seracchioli
authors: Linda
authors: L
authors: Manuzzi
authors: Mohamed
authors: M
authors: Mabrouk
authors: Serena
authors: S
authors: Solfrini
authors: Clarissa
authors: C
authors: Frascà
authors: Fabio
authors: F
authors: Manferrari
authors: Filippo
authors: F
authors: Pierangeli
authors: Roberto
authors: R
authors: Paradisi
authors: Stefano
authors: S
authors: Venturoli
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007422:Intestines / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D009392:Nephrectomy; D010053:Ovary / Q000601:surgery; D012007:Rectum / Q000601:surgery; D014513:Ureter / Q000601:surgery