title: Pelviperitonitis by colorectal perforation in the third trimester of pregnancy after surgery for deep pelvic endometriosis.
abstract: OBJECTIVE
  To report a severe complication after colorectal resection for rectovaginal endometriosis.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 37-year-old patient treated with colorectal resection 3 years ago for rectovaginal endometriosis was admitted with a rectal perforation at 37 weeks' gestation.
  
  
  METHODS
  Caesarean section and simple interrupted stitch of the perforation by absorbable Vicryl.
  
  
  METHODS
  Determination of the cause of the perforation in healthy rectal tissue above the anastomosis.
  
  
  RESULTS
  The most likely mechanism was secondary colonic hyperpressure owing to stenosis of the colorectal anastomosis.
  
  
  CONCLUSIONS
  Young patients planning to conceive but scheduled to undergo colorectal resection should be made aware of the significant complication rate associated with this procedure and the promising results of nodule excisions. We recommend close monitoring of patients suffering from chronic constipation after resection for rectosigmoid endometriosis.
authors.affiliation: Department of Obstetrics and Gynecological Surgery, CHU Nimes, Nîmes, France. boileau.laurent34@gmail.com
authors.forename: Laurent
authors.initials: L
authors.lastname: Boileau
authors.forename: Frédéric
authors.initials: F
authors.lastname: Borie
authors.forename: Sylvain
authors.initials: S
authors.lastname: Laporte
authors.forename: Marie-Laure
authors.initials: ML
authors.lastname: Tailland
authors.forename: Pierre
authors.initials: P
authors.lastname: Mares
authors.forename: Renaud
authors.initials: R
authors.lastname: de Tayrac
mesh_terms: D000328:Adult; D003107:Colorectal Surgery / Q000009:adverse effects*; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology; D010388:Pelvis / Q000473:pathology; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D011247:Pregnancy; D011263:Pregnancy Trimester, Third