[Endometriosis: an infrequent cause of colonic obstruction].

J L Mundi Sánchez-Ramade, José Luis Mundi, R Carvia Ponsaille, José Ramón, J A Pérez Ramón, Isabel Carmona Soria, I Carmona Soria, I. Castejon, I Lavín Castejón, A Trapero Martínez, R Fernández Pérez, A Palacios Pérez
Gastroenterologia y hepatologia · 1998 · vol. 21(5) , pp. 224–6 · PMID:9644875 · W51110109
article OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Endometriosis implantation in the sigmoid colon wall caused a rare case of intestinal obstruction, highlighting its diagnostic difficulty and frequent misdiagnosis as neoplasm, ultimately requiring surgical resolution.

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Abstract

Endometriosis localized in the intestinal wall is not an infrequent finding. Diagnosis is difficult given the diverse symptomatology presented with unspecific abdominal pain being the most common. Implantation of endometrial tissue in the intestinal wall may involve the mucosa and present as rectorhagia, with colonscopic exploration providing diagnosis by biopsy of the affected area. In other cases this may only involve the intestinal wall producing very varied symptomatology. Presentation as a picture of colon obstruction is little reported. The main problem is its difficult differential diagnosis with neoplasm which, in most cases, leads to surgery. A case of colon obstruction provoked by implantation of endometrial tissue in the wall of the sigma which was surgically resolved is herein presented.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Intestinal Obstruction Colonic Diseases Colonic Diseases Colonic Diseases Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Intestinal Obstruction Intestinal Obstruction Middle Aged

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