{"paper_id":"58919425-d672-46b6-822d-dd8ab6bb1c19","body_text":"Severe Pelvic Endometriosis Involving the Rectum with Near Complete Bowel Obstruction: A Case Report\nKeywords\nrectal endometriosis, rectal mass, pelvic mass\nDisciplines\nMedicine and Health Sciences\nAbstract\nEndometriosis is a common gynecological disease among reproductive-age women that can result in chronic pain, severely decreased quality of life, and infertility. We present a case of a 44-year-old female with a known history of endometriosis who presented with constipation, decreased appetite, iron deficiency anemia, and unintentional weight loss for 6 months. Investigation with colonoscopy discovered a partially-obstructing mass in her proximal rectum and no evidence of malignancy on biopsy. The mass was subsequently removed during a combined robotic-assisted total hysterectomy with bilateral salpingo-ophorectomy and low anterior resection with reanastomosis. Surgical pathology determined that the mass was consistent with endometriosis and no malignancy was identified. This case calls attention to a unique manifestation of endometriosis and highlights the importance of maintaining a broad differential diagnosis while utilizing a multidisciplinary team in the management of a rectal mass in reproductive-age women.\nRecommended Citation\nNaegele S, Bush S, Bown P, Bou Zgheib N.\nSevere Pelvic Endometriosis Involving the Rectum with Near Complete Bowel Obstruction: A Case Report.\nMarshall J Med.\n2023;\n9(2)\nDOI: https://doi.org/10.33470/2379-9536.1388.","source_license":"CC0","license_restricted":false}