Abstract
Endometriosis is one of the most common benign gynecological disorders in women of reproductive age. Intestinal involvement occurs in 3 to 37 percent of patients with pelvic endometriosis, usually affecting the rectosigmoid colon. Sometimes, the differential diagnosis of colorectal endometriosis from carcinoma of the colon and rectum is difficult due to similar colonoscopic and radiologic findings. We report a case of a 45-year-old woman presenting with intraabdominal mass and symptoms of bowel obstruction due to colonic endometriosis. An uneventful anterior resection of the sigmoid colon was performed. Histopathological examination of the resected colon revealed colonic endometriosis. This case demonstrates the difficulty of establishing an accurate pre-operative diagnosis and the ability of intestinal endometriosis to mimic colon cancer
References
- Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract, a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol 2001;25:445–54.
- Bailey HR. Colorectal endometriosis. Perspect Colon Rectal Surg 1992;5:251-9.
- Miller LS, Barbarevech C, Friedman LS. Less frequent causes of lower gastrointestinal bleeding. Gastroenterol Clin North Am 1994;23:21-52.
- Bergqvist A. Different types of extragenital endometriosis: a review. Gynecol Endocrinol 1993; 7:207-21
- Giudice LC, Kao LC. Endometriosis. Lancet 2004;364:1789-99.
- Verspyck E, Lefranc J, Guyard B, Blondon J. Treatment of bowel endometriosis: a report of six cases of colorectal endometriosis and a survey of the literature. Eur J Obstet Gynecol Reprod Biol 1997;71:81-4.
- Yoshida M, Watanabe Y, Horiuchi A, Yamamoto Y et al. Sigmoid colon endometriosis treated with laparoscopy-assisted sigmoidectomy: Significance of preoperative diagnosis. World J Gastroenterol 2007;13:5400-2.
- Barclay RL, Simon JB, Vanner SJ, Hurlbut DJ, Jeffrey JF. Rectal passage of intestinal endometriosis. Dig Dis Sci 2001;46:1963-7.
- Langlois NE, Park KG, Keenan RA. Mucosal changes in the large bowel with endometriosis: a possible cause of misdiagnosis of colitis? Hum Pathol 1994;25:1030-4.
- 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;3:18.
- Brosens I, Puttemans P, Campo R, Gordts S, Brosens J. Noninvasive methods of diagnosis of endometriosis. Curr Opin Obstet Gynecol 2003;15:519-22.
- Mahutte NG, Arici A. Medical management of endometriosis associated pain. Obstet Gynecol Clin North Am 2003;30:133-50.
Abstract
Endometriozis reprodüktif çağdaki kadınlarda en sık karşılaşılan jinekolojik rahatsızlıklardan biridir. Pelvik endometriozisi olan hastalarda yüzde 3 ile 37 oranında başta rektosigmoid kolon olmak üzere intestinal tutulum mevcuttur. Bazen kolon ve rektum karsinomlarının kolorektal endometriozisten benzer kolonoskopik ve radyolojik bulgular nedeniyle ayrımı güç olabilmektedir. Bu olgu sunumunda 45 yaşında bayan hastaya kolonik endometriozise bağlı intraabdominal kitle ve barsak obstrüksiyonu bulguları nedeniyle anterior rezeksiyon uygulanmıştır. Yapılan histopatolojik inceleme sonucu kolonik endometriozis olarak raporlanmıştır. Bu olgu intestinal endometriozisin kolon kanserini taklit edebilme özelliğini ve pre-operatif kesin tanının ortaya konmasındaki zorluğa dikkati çekmektedir
References
- Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract, a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol 2001;25:445–54.
- Bailey HR. Colorectal endometriosis. Perspect Colon Rectal Surg 1992;5:251-9.
- Miller LS, Barbarevech C, Friedman LS. Less frequent causes of lower gastrointestinal bleeding. Gastroenterol Clin North Am 1994;23:21-52.
- Bergqvist A. Different types of extragenital endometriosis: a review. Gynecol Endocrinol 1993; 7:207-21
- Giudice LC, Kao LC. Endometriosis. Lancet 2004;364:1789-99.
- Verspyck E, Lefranc J, Guyard B, Blondon J. Treatment of bowel endometriosis: a report of six cases of colorectal endometriosis and a survey of the literature. Eur J Obstet Gynecol Reprod Biol 1997;71:81-4.
- Yoshida M, Watanabe Y, Horiuchi A, Yamamoto Y et al. Sigmoid colon endometriosis treated with laparoscopy-assisted sigmoidectomy: Significance of preoperative diagnosis. World J Gastroenterol 2007;13:5400-2.
- Barclay RL, Simon JB, Vanner SJ, Hurlbut DJ, Jeffrey JF. Rectal passage of intestinal endometriosis. Dig Dis Sci 2001;46:1963-7.
- Langlois NE, Park KG, Keenan RA. Mucosal changes in the large bowel with endometriosis: a possible cause of misdiagnosis of colitis? Hum Pathol 1994;25:1030-4.
- 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;3:18.
- Brosens I, Puttemans P, Campo R, Gordts S, Brosens J. Noninvasive methods of diagnosis of endometriosis. Curr Opin Obstet Gynecol 2003;15:519-22.
- Mahutte NG, Arici A. Medical management of endometriosis associated pain. Obstet Gynecol Clin North Am 2003;30:133-50.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 1, 2013 |
| Published in Issue | Year 2013Issue: 3 |