{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:01:56Z","timestamp":1785423716309,"version":"3.56.0"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"21","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,5,25]]},"abstract":"<jats:p>Egy 50 \u00e9ves n\u0151 n\u00e9h\u00e1ny hetes bizonytalan hasi panaszai miatti klinikai\n                    kivizsg\u00e1l\u00e1sa el\u0151sz\u00f6r subileust, majd b\u00e9lelz\u00e1r\u00f3d\u00e1st igazolt. A k\u00e9palkot\u00f3\n                    vizsg\u00e1latokkal az obstrukci\u00f3t okoz\u00f3 terime eredet\u00e9t nem lehetett tiszt\u00e1zni\n                    egy\u00e9rtelm\u0171en. Seb\u00e9szi megold\u00e1sk\u00e9nt Hartmann szerinti szigmareszekci\u00f3 t\u00f6rt\u00e9nt\n                    stomak\u00e9pz\u00e9ssel. A sz\u00f6vettani vizsg\u00e1lat kiterjedt endometriosist igazolt\n                    nyirokcsom\u00f3-\u00e9rintetts\u00e9ggel, amelyet az immunhisztok\u00e9miai vizsg\u00e1latok is\n                    meger\u0151s\u00edtettek, \u00e9s kiz\u00e1r\u00e1sra ker\u00fcltek esetleges egy\u00e9b nem malignus, illetve m\u00e1s\n                    malignus vagy metasztatikus folyamatok. Sz\u00e1mos te\u00f3ria l\u00e9tezik az endometriosis\n                    \u00e9s a nyirokcsom\u00f3-\u00e9rintetts\u00e9g etiol\u00f3gi\u00e1j\u00e1ra \u00e9s patogenezis\u00e9re, de ezek l\u00e9nyeg\u00e9ben\n                    a mai napig nem teljesen tiszt\u00e1zottak. A diagnosztikus elj\u00e1r\u00e1sok nem\n                    specifikusak; a CT, az MRI \u00e9s a h\u00fcvelyi ultrahangvizsg\u00e1lat mellett a\n                    kolonoszk\u00f3pi\u00e1nak \u00e9s a bimanu\u00e1lis vizsg\u00e1latoknak van l\u00e9tjogosults\u00e1guk. A\n                    legt\u00f6bbsz\u00f6r csak a diagnosztikus laparoszk\u00f3pia sor\u00e1n ismerik fel a betegs\u00e9get. A\n                    kezel\u00e9sekre vonatkoz\u00f3an sincsenek egys\u00e9ges protokollok; a seb\u00e9szi megold\u00e1sok\n                    mellett gy\u00f3gyszeres kezel\u00e9sek j\u00f6nnek sz\u00f3ba, ez ut\u00f3bbiak lehetnek hormon\u00e1lis \u00e9s\n                    nem hormon\u00e1lis k\u00e9sz\u00edtm\u00e9nyek. A m\u0171t\u00e9t t\u00edpus\u00e1t a megfelel\u0151 anamn\u00e9zis \u00e9s\n                    diagnosztikai elj\u00e1r\u00e1sok alapj\u00e1n kell megtervezni, figyelemmel a hossz\u00fa t\u00e1v\u00fa\n                    hat\u00e1sokra. A kezel\u00e9seket egy\u00e9nre szabva kell kialak\u00edtani, \u00e9s t\u00f6rekedni kell a\n                    sz\u00f6v\u0151dm\u00e9nyek \u00e9s a ki\u00fajul\u00e1sok megel\u0151z\u00e9s\u00e9re. Orv Hetil. 2025; 166(21):\n                    826\u2013831.<\/jats:p>","DOI":"10.1556\/650.2025.33300","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:24:24Z","timestamp":1748219064000},"page":"826-831","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Ileust okoz\u00f3 szigmab\u00e9l-endometriosis nyirokcsom\u00f3-\u00e9rintetts\u00e9ggel"],"prefix":"10.1556","volume":"166","author":[{"given":"Viktor","family":"Nagy","sequence":"first","affiliation":[{"name":"Kom\u00e1rom-Esztergom V\u00e1rmegyei Szent Borb\u00e1la K\u00f3rh\u00e1z, Patol\u00f3gia Tatab\u00e1nya, D\u00f3zsa Gy. \u00fat 77., 2800 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Cacciato Insilla A, Granai M, Gallippi G, et al. Deep endometriosis\n                    with pericolic lymph node involvement: a case report and literature review.\n                    World J Gastroenterol. 2014; 20: 6675\u20136679.","DOI":"10.3748\/wjg.v20.i21.6675"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Giudice LC, Kao LC. Endometriosis. Lancet 2004; 364:\n                    1789\u20131799.","DOI":"10.1016\/S0140-6736(04)17403-5"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Simpson P, Tyler X, Morris E. An unusual clinical presentation and\n                    histological findings provide insight into the pathogenesis of endometriosis.\n                    Gynecol Surg. 2016; 13: 479\u2013484.","DOI":"10.1007\/s10397-016-0984-y"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"B\u00fcrkle B, Notscheid NK, Scheich J, et al. Spread of endometriosis to\n                    pelvic sentinel lymph nodes: gene expression analysis. Eur J Obstet Gynecol\n                    Reprod Biol. 2013; 169: 370\u2013375.","DOI":"10.1016\/j.ejogrb.2013.03.029"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Abrao MS, Podgaec S, Dias JA Jr, et al. Deeply infiltrating\n                    endometriosis affecting the rectum and lymph nodes. Fertil Steril. 2006; 86:\n                    543\u2013547.","DOI":"10.1016\/j.fertnstert.2006.02.102"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Mikl\u00f3s D, Dob\u00f3 N, Csibi N, et al. Laparoscopic treatment of deeply\n                    infiltrating colorectal endometriosis \u2013 ten years of single center experience.\n                    [M\u00e9lyen infiltr\u00e1l\u00f3 colorectalis endometriosis laparoszk\u00f3pos kezel\u00e9s\u00e9vel szerzett\n                    t\u00edz\u00e9ves tapasztalataink.] Orv Hetil. 2023; 164: 348\u2013354.\n                    [Hungarian]","DOI":"10.1556\/650.2023.32714"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Mechsner S, Weichbrodt M, Riedlinger WF, et al. Estrogen and\n                    progestogen receptor positive endometriotic lesions and disseminated cells in\n                    pelvic sentinel lymph nodes of patients with deep infiltrating rectovaginal\n                    endometriosis: a pilot study. Hum Reprod. 2008; 23: 2202\u20132209.","DOI":"10.1093\/humrep\/den259"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Langm\u00e1r Z, Sziller P. Endometriosis. [Endometriosis.] Orv Hetil.\n                    2011; 152: 1013\u20131018. [Hungarian]","DOI":"10.1556\/OH.2011.29146"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Habib N, Centini G, Lazzeri L, et al. Bowel endometriosis: current\n                    perspectives on diagnosis and treatment. Int J Womens Health 2020; 12: 12:\n                    35\u201347.","DOI":"10.2147\/IJWH.S190326"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Lukovich P, Csibi N, Brubel R, et al. Prospective study to determine\n                    the diagnostic sensitivity of sigmoidoscopy in bowel endometriosis. [Prospekt\u00edv\n                    vizsg\u00e1lat a sigmoideoscopia diagnosztikai \u00e9rz\u00e9kenys\u00e9g\u00e9nek meghat\u00e1roz\u00e1s\u00e1ra\n                    vastagbelet infiltr\u00e1l\u00f3 endometriosisban.] Orv Hetil. 2017; 158: 264\u2013269.\n                    [Hungarian]","DOI":"10.1556\/650.2017.30663"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Abr\u00e3o MS, Petraglia F, Falcone T, et al. Deep endometriosis\n                    infiltrating the recto-sigmoid: critical factors to consider before management.\n                    Hum Reprod Update 2015; 21: 329\u2013339.","DOI":"10.1093\/humupd\/dmv003"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Csorba Cs, P\u00e1sztor N, Szalma E, et al. 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Transvaginal specimen extraction\n                    after laparoscopic bowel resection in deeply infiltrating endometriosis. [M\u0171t\u00e9ti\n                    prepar\u00e1tum elt\u00e1vol\u00edt\u00e1sa a hu\u0308velyen keresztu\u0308l a vastagbelet \u00e9rint\u0151 m\u00e9lyen\n                    infiltr\u00e1l\u00f3 endometriosis laparoszk\u00f3pos m\u0171t\u00e9te sor\u00e1n.] Orv Hetil. 2014; 155:\n                    420\u2013423. [Hungarian]","DOI":"10.1556\/OH.2014.29841"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Lukovich P, Csibi N, Rig\u00f3 J Jr, et al. Bowel endometriosis: new\n                    challenge for gastroenterology and surgery? Three cases of endometriosis caused\n                    large bowel ileus and review of the literature. [Belet infiltr\u00e1l\u00f3 endometriosis:\n                    a gasztroenterol\u00f3gia \u00e9s a seb\u00e9szet \u00faj kih\u00edv\u00e1sa? Vastagb\u00e9lileust okoz\u00f3\n                    endometriosis h\u00e1rom esete \u00e9s irodalmi \u00e1ttekint\u00e9s.] Orv Hetil. 2016; 157:\n                    1960\u20131966. [Hungarian]","DOI":"10.1556\/650.2016.30611"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Secosan C, Balulescu L, Brasoveanu S, et al. Endometriosis in\n                    menopause-renewed attention on a controversial disease. Diagnostics (Basel)\n                    2020; 10: 134.","DOI":"10.3390\/diagnostics10030134"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Rana R, Sharma S, Narula H, et al. A case of recto-sigmoid\n                    endometriosis mimicking carcinoma. SpringerPlus 2016; 5: 643.","DOI":"10.1186\/s40064-016-2221-6"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Lin F, Bahirwani J, Stoll L, et al. Endometriosis of the colon and\n                    pericolic lymph nodes presenting as cecal volvulus. 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