ENDOMETRIOSIS OF THE SIGMOID COLON AND RECTUM

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This report details two cases of sigmoid colon and rectal endometriosis, one causing bowel obstruction and the other rectal bleeding, and discusses features differentiating it from carcinoma.

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Abstract

Endometriosis is a common disease of women which occasionally causes serious symptoms in virtue of involvement of the distal large intestine. Two cases are reported, illustrating opposite ends of the spectrum of this disorder, one presenting with a complete large-bowel obstruction, and the other with periodical per-rectal bleeding. Endometriosis in these locations can closely mimic carcinoma, and from a consideration of our cases and the literature, those features which might help to distinguish one from the other are discussed. The treatment of endometriosis itself is briefly outlined. Either to avoid unnecessarily radical surgery, or to plan appropriate specific treatment at the time of surgery for the colorectal lesion, a preoperative diagnosis is desirable, but it is unlikely unless the clinician is aware of this unusual form of endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Rectal Neoplasms Sigmoid Neoplasms Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Hormones Hormones Humans Rectal Neoplasms Rectal Neoplasms Rectal Neoplasms Sigmoid Neoplasms Sigmoid Neoplasms Sigmoid Neoplasms

Citation neighborhood

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References (14)

Cited by (6)

Source provenance

europepmc
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License: CC0 · commercial use OK