Author:
Keith Joshua J.,Hernandez Lorenzo O.,Maruoka Nishi Livia Y.,Jethwa Tarang P.,Lewis Jason T.,Pujalte George G. A.
Abstract
Abstract
Background
Although gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare.
Case presentation
We present a case of a 41-year-old white woman with cyclic rectal bleeding. Magnetic resonance imaging was done, together with colonoscopy and histologic staining of biopsied samples, which led to the final diagnosis of intestinal invasive endometriosis with recto-sigmoid stricture. Our patient was treated symptomatically with stool softeners.
Conclusion
This case provides a rare example of catamenial bleeding. It is important to keep invasive endometriosis on the differential diagnosis whenever a premenopausal woman has cyclical rectal bleeding.
Publisher
Springer Science and Business Media LLC
Reference17 articles.
1. Acar T, Acar N, Celik SC, Ekinci N, Tarcan E, Capkinoglu E. Endometriosis within the sigmoid colon/extragenital endometriosis. Turkish J Surg. 2015;31(4):250–2.
2. Nezhat C, Li A, Falik R, Copeland D, Razavi G, Shakib A, et al. Bowel endometriosis: diagnosis and management. Am J Obstet Gynecol. 2018;218(6):549–62. https://doi.org/10.1016/j.ajog.2017.09.023.
3. Kanthimathinathan V, Elakkary E, Bleibel W, Kuwajerwala N, Conjeevaram S, Tootla F. Endometrioma of the large bowel. Dig Dis Sci. 2007;52(3):767–9.
4. Dimoulios P, Koutroubakis IE, Tzardi M, Antoniou P, Matalliotakis IM, Kouroumalis EA. A case of sigmoid endometriosis difficult to differentiate from colon cancer. BMC Gastroenterol. 2003;5:1–5.
5. Rocca WA, Grossardt BR, de Andrade M, et al. Survival patterns after oophorectomy in premenopausal women: a population-based cohort study. Lancet Oncol. 2006;7:821.
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