One of a Kind: Adenomyoma in a Rectal Polyp

In: ACG Case Reports Journal · 2026 · vol. 13(8) · doi:10.14309/crj.0000000000002251 · W7171931528
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Abstract

Adenomyoma is a rare manifestation of extrauterine Müllerian pathology and is infrequently described within the gastrointestinal tract. We report a 60-year-old woman with a 10 mm rectal polypoid lesion initially unresectable by standard techniques. Endoscopic ultrasound demonstrated a subepithelial lesion involving the muscularis propria, and fine-needle aspiration was nondiagnostic. Endoscopic full-thickness resection achieved complete removal. Histology revealed adenomyoma with endometrial glands, stroma, and smooth muscle. This case highlights the diagnostic challenge of atypical subepithelial lesions and demonstrates endoscopic full-thickness resection as an effective, minimally invasive approach for definitive diagnosis and management.

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last seen: 2026-10-09T06:00:51.939507+00:00
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