Endometriotic Rectosigmoid Obstruction Presenting With a Frozen Pelvis-Mimicking Carcinoma

Vijay Naraynsingh, Seetharaman Hariharan, Dilip Dan, S Alexander
In: Journal of Pelvic Medicine and Surgery · 2009 · vol. 15(1) , pp. 29–31 · doi:10.1097/spv.0b013e31819b6730 · W2095091828
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report details a rectosigmoid endometriosis mimicking carcinoma, presenting as a frozen pelvis and initially treated with radio- and chemotherapy before surgical resection revealed the true diagnosis.

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Abstract

In Brief Rectosigmoid endometriosis is a relatively rare condition and may commonly mimic carcinoma. We report a case presenting with frozen pelvis that was unresectable during an emergency laparotomy. Clinically and radiologically it was suspected to be carcinoma and the patient was subjected to radio- and chemotherapy. The lesion was resected during a second laparotomy and was found to be endometriotic mass. A high index of suspicion is necessary to diagnose this condition. A very high index of suspicion is crucial to diagnose recto-sigmoid endometriosis, which may mimic carcinoma and evade preoperative diagnosis.

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Condition tags

endometriosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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