Colonic Endometriosis Presenting as a Sigmoid Stricture Requiring Laparoscopic Colonic Surgery for Diagnosis and Treatment

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This case report describes a woman with a sigmoid stricture diagnosed and treated via laparoscopic colonic surgery, a presentation of colonic endometriosis.

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This paper reports a case of colonic endometriosis presenting as a sigmoid stricture, leading to diagnostic uncertainty and the need for laparoscopic colonic surgery to establish diagnosis and provide treatment. The authors describe the clinical presentation and surgical/pathologic process involved in evaluating and managing the stricture, with an explicit focus on endometriosis as the underlying cause. A key limitation is that this is a single-case report, so findings cannot be generalized to broader populations. This paper is centrally about endometriosis — it specifically describes colonic (sigmoid) endometriosis mimicking a stricture requiring laparoscopic colonic surgery for diagnosis and treatment.

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Biscaldi E, Ferrero S, Fulcheri E, et al. Multislice CT enteroclysis in the diagnosis of bowel endometriosis. Eur Radiol. 2007;17:211–219. Ozel B, Pickhardt PJ, Kim DH, et al. Accuracy of routine nontargeted CT without colonography technique for the detection of large colorectal polyps and cancer. Dis Colon Rectum. 2010;53:911–918. Bazot M, Lafont C, Rouzier R, et al. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril. 2009;92:1825–1833. Hori Y. SAGES guidelines committee. Diagnostic laparoscopy guidelines. Surg Endosc. 2008;22:1353–1383. Conflict of interest None. Author information Authors and Affiliations Corresponding author Additional information Borko Nojkov and Mitchell S. Cappell share equal authorship. Mitual Amin was the author responsible for the pathology. This paper does not discuss any confidential drug data reviewed by Dr. Cappell as a member of the FDA Advisory Committee on Gastrointestinal Drugs. Rights and permissions About this article Cite this article Nojkov, B., Duffy, M.C., Amin, M. et al. Colonic Endometriosis Presenting as a Sigmoid Stricture Requiring Laparoscopic Colonic Surgery for Diagnosis and Treatment. Dig Dis Sci 58, 3368–3373 (2013). https://doi.org/10.1007/s10620-013-2771-1 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10620-013-2771-1

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endometriosis

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Colonic Diseases Colonic Diseases Endometriosis Endometriosis Laparoscopy Adult Colonic Diseases Colonic Diseases Endometriosis Endometriosis Female Humans

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