Intestinal obstruction due to rectal endometriosis

Melih Paksoy, Paksoy M, Ilhan Karabiçak, Karabiçak I, Fadil Ayan, Fadıl Ayan, Aydoğan F, Fatih Aydoğan
The Mount Sinai journal of medicine, New York · 2005 · vol. 72(6) , pp. 405–8 · PMID:16358167 · W11447963
Case report OA: closed CC0 ⤵ 23 in-corpus citations
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This case report describes a premenopausal woman with intestinal obstruction due to rectal endometriosis, highlighting the diagnostic challenges and eventual surgical confirmation of the condition.

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Abstract

We report a case of a premenopausal woman with severe constipation causing intermittent obstruction. Colonoscopy revealed a tight rectal stricture; however, mucosal biopsies were normal. Exploratory surgery revealed an intense fibrotic reaction involving the rectum and uterus, necessitating a simultaneous low anterior resection and hysterectomy. Pathology established a diagnosis of endometriosis. Preoperative diagnosis of rectal endometriosis can be difficult to establish. Endometrial deposits do not invade the mucosa; therefore, colonoscopy with biopsies are frequently non-diagnostic. Surgery may be the only definitive way to obtain a certain diagnosis. In cases involving rectal strictures of unknown etiology in premenopausal women, rectal endometriosis must be included in the differential diagnosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Obstruction Rectal Diseases Rectum Adult Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Rectal Diseases Rectal Diseases Rectal Diseases Rectum

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (23)

Source provenance

europepmc
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License: CC0 · commercial use OK