Extragenital endometriosis in sigmoid colon and lympathic nodule

Nuket ELİYATKIN, Başak KARASU, Baha Zengel, Hakan POSTACI
In: \n Volume: 37, Issue: 2\n 164-167\n \n · 2010 · W4297624455
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A 43-year-old woman presented with intestinal obstruction due to extragenital endometriosis in the sigmoid colon and lymphatic nodule, initially misdiagnosed as malignancy before histological confirmation.

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This case report describes a rare instance of extragenital endometriosis involving the sigmoid colon and a lymph node. The authors present the clinical presentation, diagnostic challenges, and pathological findings associated with this unusual location of the disease. The paper highlights the importance of considering endometriosis in differential diagnoses for gastrointestinal symptoms, even when lesions are found outside the pelvic cavity. This paper is centrally about endometriosis — specifically extragenital involvement of the sigmoid colon and lymphatic tissue.

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Abstract

Although endometriosis is a common disease in women of childbearing age, intestinal endometriosis is unusual and may cause clinically significant complications. We report a 43-year-old woman with extragenital endometriosis who presented with intestinal obstruction. She was operated on with a preoperative diagnosis of malignancy. The diag­nosis of endometriosis was made only after histological examination of the resected specimen. Intestinal endo­metriosis has a diverse clinical spectrum, with nonspecific features in many patients. In female patients who have unexplained digestive complaints, endometriosis should also be considered in the differential diagnosis.
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Sigmoid kolon ve lenf düğümünde ekstragenital endometriozis Öz Anahtar Kelimeler Kaynakça - Hesla JS, Rock JA. Endometriosis. In:Rock JA, Thompson JD (eds.). Te Linde’s Operative Gynecology. Philadelphia: Lippincott-Raven Publishers; 1997:585-624. - Rock J, Markham SM. Pathogenesis of endometriosis. Lan- cet 1995: 340: 1264-7. - Adamson GD. Diagnosis and clinical presentation of endo- metriosis. Am J Obstet Gynecol 1990;162:568-9. - Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evalua- tion. Am J Surg Pathol 2001;25:445-54. - Koksal N. Kolorektal endometrioz. In: Alemdaroglu K, Akcal T, Bugra D, eds. Kolon Rektum ve Anal Bölge Hastalıklari. 1st ed. Istanbul: Turk Kolon ve Rektum Cerrahisi Dernegi 2003; 681-5. - Yantiss RK, Clement PB, Young RH. Neoplastic and pre- neoplastic changes in gastrointestinal endometriosis: a study of 17 cases. Am J Surg Pathol 2000;24:513-4. - Yoshida M, Watanabe Y, Horiuchi A, Yamamoto Y, Sugishita H, Kawachi K. Sigmoid colon endometriosis treated with laparoscopy-assisted sigmoidectomy: Significance of pre- operative diagnosis. World J Gastroenterol 2007; 13(40): 5400-2. - Bergqvist A. Extragenital endometriosis: a review. Eur J Surg 1992; 158: 7-12. Ayrıntılar Birincil Dil Türkçe Konular - Bölüm - Yazarlar Nuket Eliyatkın Bu kişi benim Başak Karasu Bu kişi benim Baha Zengel Bu kişi benim Hakan Postacı Bu kişi benim Yayımlanma Tarihi 1 Haziran 2010 Gönderilme Tarihi 2 Mart 2015 Kabul Tarihi - Yayımlandığı Sayı Yıl 2010 Cilt: 37 Sayı: 2

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