Expect the unexpected: Endometriosis mimicking a rectal carcinoma in a post-menopausal lady

Ameet Kumar, C K Jakhmola, CK Jakhmola, B S Sunita, BS Sunita
Journal of minimal access surgery · 2015 · vol. 12(2) , pp. 179 · doi:10.4103/0972-9941.169983 · PMID:27073315 · PMC4810956 · W2293541623
article OA: gold CC0 ⤵ 4 in-corpus citations
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Abstract

Altered bowels habits along with rectal mass in an elderly would point toward a rectal cancer. We report an unusual case of a post-menopausal lady who presented with these complaints. We had difficulties in establishing a pre-operative diagnosis. With a tentative diagnosis of a rectal cancer/gastrointestinal stromal tumor, she underwent a laparoscopic anterior resection. On histopathology, this turned out to be endometriosis. Bowel endometriosis is an uncommon occurrence. That it occurred in a post-menopausal lady was a very unusual finding. We discuss the case, its management, and the relevant literature.

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endometriosisbowel_endometriosis

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