Endometriosis causing extensive intestinal obstruction simulating carcinoma of the sigmoid colon: a case report and review of the literature.
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This case report details a 43-year-old woman with sigmoid colon endometriosis causing extensive intestinal obstruction, successfully treated with oophorectomy and bowel resection.
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Abstract
Endometriosis with intestinal serosal involvement is not uncommon in women of childbearing age, however, presentation as colon obstruction is rare. Lack of pathognomonic symptoms makes diagnosis difficult, the main problem being differential diagnosis with neoplasm, even intraoperatively. Reported here is a case of extensive bowel obstruction due to sigmoid colon endometriosis in a 43-year-old woman who presented with signs and symptoms of bowel obstruction. Barium enema showed sigmoid obstruction; subsequent exploratory laparotomy showed the sigmoid colon surrounded by fibrous tissue, leading to its angulation and extensive lumen obstruction. Left oophorectomy and radical resection of descending and sigmoid colon as for bowel carcinoma were successfully employed. Pathological examination revealed endometriosis in the bowel wall with preservation of the mucosa. Aetiology, clinical presentation, differential diagnosis and therapeutic options for intestinal obstruction due to endometriosis are discussed.
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Cited by (34)
- Acute abdominal pain in women of reproductive age: keys to suggest a complication of endometriosis 2023
- Endometriosis: seeking optimal management in women approaching menopause 2019
- Sigmoid colon endometriosis presenting as acute colonic obstruction 2017
- Small bowel obstruction due to subserosal endometriosis: an elusive condition 2016
- SMALL BOWEL OBSTRUCTION IN A YOUNG REPRODUCTIVE AGE WOMAN 2014
- Cecal Endometriosis Presenting as Acute Appendicitis 2014
- Bowel endometriosis 2014
- Colonic Obstruction as an Unusual Presentation of Endometrioma 2013
- Rectal endometriosis –rare case of intestinal obstruction. Case report 2013
- Intestinal occlusion caused by endometriosis of the sigmoid colon. 2012
- Endometriosis extrapélvica semejando cáncer colorrectal estenosante: Reporte de dos casos 2012
- Surgical Considerations in Colorectal Endometriosis 2012
- Distal ileal endometriosis as a cause of ileus: A case report 2012
- Endometriosis intestinal como causa de abdomen agudo 2010
- Colonic Endometriosis Mimicking Colon Cancer on a Virtual Colonoscopy Study: A Potential Pitfall in Diagnosis 2009
- Ascites and Ileus due to Endometriosis 2009
- Intestinal Endometriosis: Clinicopathologic Analysis of 15 Cases Including a Case of Endometrioid Adenocarcinoma 2009
- Endometriotic Rectosigmoid Obstruction Presenting With a Frozen Pelvis-Mimicking Carcinoma 2009
- Acute small bowel obstruction caused by endometriosis: A case report and review of the literature 2008
- Endometrioma of the Large Bowel 2007
- Intestinal obstruction secondary to endometriosis: A rare case of synchronous bowel localization 2007
- Bowel Endometriosis: Presentation, Diagnosis, and Treatment 2007
- Endometriosis intestinal. Estado actual 2007
- Imagerie de l'endométriose 2006
- Role of EUS and EUS-guided FNA in the diagnosis of symptomatic rectosigmoid endometriosis 2006
- Deeply infiltrating endometriosis affecting the rectum and lymph nodes 2006
- Endometriosis-induced acute small and large bowel obstruction: rare clinical entities. 2005
- Acute appendicitis or something else? A case report of cecal endometriosis in emergency setting. 2005
- How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study 2005
- REVIEW: Evidence for asymmetric distribution of lower intestinal tract endometriosis 2004
- Imagerie de l'endométriose 2004
- The involvement of the interstitial Cajal cells and the enteric nervous system in bowel endometriosis 2004
- A case of sigmoid endometriosis difficult to differentiate from colon cancer 2003
- Anatomical Sites of Endometriosis 2003
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