Endometriosis of the rectum causing bowel obstruction: a case report.

Yutaka Midorikawa, Midorikawa Y, Y Midorikawa, Kubota K, Kenji Kubota, K Kubota, K Kawai, Kenji Kawai, Kawai K, Masaya Mori, M Mori, Mori M, N Kajiura, Naoaki Kajiura, Kajiura N
Hepato-gastroenterology · 1997 · vol. 44(15) , pp. 706–9 · PMID:9222676 · W56003689
article OA: closed CC0 ⤵ 10 in-corpus citations
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This case report describes a pre-menopausal woman with rectal endometriosis causing bowel obstruction, treated with low anterior resection and hysterectomy following diagnostic imaging and laparotomy.

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Abstract

A 42-year-old pre-menopausal woman complaining of lower abdominal pain was referred to our hospital. A barium enema showed rectal stenosis and colonoscopy revealed that the mucosa at the stenotic site was normal with no cancerous changes. Pelvic computed tomography demonstrated an adhesion between the rectum and uterus and a thickened rectal wall. The patient underwent exploratory laparotomy under a diagnosis of rectal stenosis. The rectum was found to be surrounded by inflammatory fibrous tissue, which caused the stenosis. As no dissection plane was discernible between the rectum and uterus, low anterior resection of the rectum and hysterectomy were performed. Histological examination showed that endometrial-type glands extended circumferentially around the rectum and invaded the rectal submucosal layer and subsequently, endometriosis of the rectum was diagnosed.

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Condition tags

endometriosis

MeSH descriptors

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

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (9)

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europepmc
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License: CC0 · commercial use OK