Tables in Original article by VLASTA PODZEMNY - VERONICA MONICA CIOLI - HECTOR TAPIA MOHAMMED NEMATI FARD - MARIO PESCATORI ( * )
Intestinal and pelvic endometriosis:
Intestinal and pelvic endometriosis:
psychological and surgical considerations
( * ) Coloproctology Units, Ars Medica and Chianciano Salute Hospitals Rome and Chianciano Terme, Italy
Images reproduction prohibited without permission of Authors. |
Fig 1. – The rain-drawing test shows that the patient is lacking of defence, as she did not drew any umbrella to protect her body under the rain. The attempt of the patient to stop the rain with her arms makes the drawing rather dramatic. |
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Fig 2. –The draw-the-family test shows several abnormalities, such as wavering lines and body deformities (i.e. lack of legs and arms). Moreover the patient, despite being 40 years old, represented herself as a child which means she felt frail and insecure. |
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Fig 3. – Intra operative field showing stenosis tumor-like endometriosis just below the rectosigmoid junction the surgical dissection has been commenced and some structures has been mounted on rubber band loop i.e. Ovarian vessels , SHV superior haemorroidal vessels which has been separated to ensure a better vascular supply, HN Hypogastric Nerve, S sigmoid, R rectum. |
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Fig 4. – The specimen shows a tumor like-endometrioma in the upper rectum (arrow) with dark and whitish areas. |