CASE REPORT: Rectal Passage of Intestinal Endometriosis

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This case report describes a patient experiencing the rectal passage of intestinal endometriosis, a condition where endometrial tissue grows in the bowel.

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This paper presents a case report describing rectal passage of intestinal endometriosis, focusing on how bowel involvement by endometriosis can present with symptoms and findings that may mimic other gastrointestinal conditions. The authors’ approach appears to be descriptive of the patient’s presentation and the course leading to identification of intestinal endometriosis. As a single case report, the main limitation is that it provides no generalizable estimate of frequency, diagnostic accuracy, or treatment outcomes beyond this individual experience. This paper is centrally about endometriosis — a case report of rectal passage of intestinal (bowel) endometriosis.

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REFERENCES Weed JC, Ray JE: Endometriosis of the bowel. Obstet Gynecol 69:727–730, 1987 Prystowsky JB, Stryker SJ, Ujiki GT, et al: Gastrointestinal endometriosis. Incidence and indications for resection. Arch Surg 123:855–858, 1988 Sievert W, Sellin JH, Singer CA: Pelvic endometriosis simulat-ing colonic malignant neoplasm. Arch Intern Med 149:935–938, 1989 Langlois NEI, Park KGM, Keenan RA: Mucosal changes in the large bowel with endometriosis: A possible cause of misdiagnosis of colitis? Hum Pathol 25:1030–1034, 1994 Shah M, Tager D, Feller E: Intestinal endometriosis masquerading as common digestive disorders. Arch Intern Med 155:977–980, 1995 Case Records of the Massachussetts General Hospital: Case 28-1996: A 45-year old woman with abdominal pain and a polypoid mass in the colon. N Engl J Med 335:807–812, 1996 Lott JV, Rubin RJ, Salvati EP, et al: Endometrioid carcinoma of the rectum arising in endometriosis. Report of a case. Dis Colon Rectum 21:56–60, 1978 Levitt MD, Hodby KJ, van Merwyk AJ, et al: Cyclical rectal bleeding in colorectal endometriosis. Aust NZ J Surg 59:941–943, 1989 Cameron IC, Rogers S, Collins MC, et al: Intestinal endometriosis: Presentation, investigation, and surgical management. Int J Colorectal Dis 10:83–86, 1995 Szucs RA, Turner MA: Gastrointestinal tract involvement by gynecologic diseases. Radiographics 16:1251–1270, 1996 Chapron C, Dumontier I, Dousset B, et al: Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis. Hum Reprod 13:2266–2270, 1998 Fedele L, Bianchi S, Portuese A, et al: Transrectal ultrasonography in the assessment of rectovaginal endometriosis. Obstet Gynecol 91:444–448, 1998 Gorell HA, Cyr DR, Wang KY, et al: Rectosigmoid endometriosis. Diagnosis using endovaginal sonography. J Ultrasound Med 8:459–461, 1989 Collin GR, Russell JC: Endometriosis of the colon. Its diagnosis and management. Am Surg 56:275–279, 1990 Croom RD, Donovan ML, Schwesinger WH: Intestinal endometriosis. Am J Surg 148:660–667, 1984 Prior A, Wilson K, Whorwhell PJ, et al: Irritable bowel syndrome in the gynecological clinic. Survey of 798 new referrals. Dig Dis Sci 34:1820–1824, 1989 Manning AP, Thompson WG, Heaton KW, et al: Towards a positive diagnosis of the irritable bowel. BMJ 2:633–654, 1978 Thompson WG, Creed F, Drossman DA, et al: Functional bowel disease and functional abdominal pain. Gastroenterol Int 5:75–91, 1992 Vanner SJ, Depew WT, PatersonWG, et al: Predictive value of the Rome criteria for diagnosing the irritable bowel syndrome. Am J Gastroenterol 94:2912–2917, 1999 Coxe M: Irritable bowel syndrome (Letter). Lancet 351:675–676, 1998 McKee DP, Quigley EMM: Intestinal motility in irritable bowel syndrome: Is IBS a motor disorder? Part I. Definition of IBS and colonic motility. Dig Dis Sci 38:1761–1772, 1993 Mayer EA, Gebhart GF: Basic and clinical aspects of visceral hyperalgesia. Gastroenterology 107:271–293, 1994 Zwas FR, Lyon DT: Endometriosis: An important condition in clinical gastroenterology. Dig Dis Sci 36:353–364, 1991 Redwine DB: Endometriosis persisting after castration: Clinical characteristics and results of surgical management. Obstet Gynecol 83:405–413, 1994 INTESTINAL ENDOMETRIOSIS 1967 Digestive Diseases and Sciences, Vol. 46, No. 9 (September 2001) Author information Authors and Affiliations Rights and permissions About this article Cite this article Barclay, R., Simon, J., Vanner, S. et al. CASE REPORT: Rectal Passage of Intestinal Endometriosis. Dig Dis Sci 46, 1963–1967 (2001). https://doi.org/10.1023/A:1010647401186 Issue date: DOI: https://doi.org/10.1023/A:1010647401186

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Adult Barium Sulfate Colonic Diseases Colonic Diseases Colonoscopy Contrast Media Endometriosis Endometriosis Enema Female Humans

Citation neighborhood

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