Rectal endometriosis: a case report

V N Papadopoulos, Vasileios Papadopoulos, D Panagiotou, S Panidis, Stavros Panidis, Alpha Mekras, Α. Mekras, Kyriakos Fotiadis, K Fotiadis, S Netta, Smaro Netta, I Marianou, A Michalopoulos, Antonios Michalopoulos
Techniques in coloproctology · 2011 · vol. 15(S1) , pp. 105–106 · doi:10.1007/s10151-011-0743-z · PMID:21887567 · W2079633280
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

A case report describes a 45-year-old woman with pelvic pain and constipation whose laparotomy revealed rectal endometriosis, not adenocarcinoma, following an initial misdiagnosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper reports a case of a 45-year-old woman admitted with pelvic pain, constipation, and dysmenorrhea, where CT and ultrasound also suggested cholelithiasis, benign liver nodular hyperplasia, and uterine fibromyoma. During laparotomy, firm adhesions were found between the posterior uterus and rectum, and an incisional biopsy initially revealed undifferentiated adenocarcinoma, prompting total uterine resection with en bloc resection of adherent rectal and posterior vaginal wall tissue. Final histopathology showed rectal endometriosis along with uterine fibromyoma and liver nodular hyperplasia, with no malignancy, and the patient remained healthy at 5-year follow up. This is a single case report and therefore does not provide generalizable diagnostic performance; it concludes that rectal endometriosis is an uncommon localization with non-specific symptoms that can be difficult to diagnose preoperatively and should be considered in the differential diagnosis. This paper is centrally about endometriosis — it is a case report specifically focused on rectal endometriosis.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Adenocarcinoma Endometriosis Leiomyoma Rectal Diseases Uterine Neoplasms Adenocarcinoma Chronic Pain Chronic Pain Constipation Constipation Diagnosis, Differential Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Female Humans Leiomyoma Leiomyoma

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