Submucosal Lesions Presenting With Rectal Bleeding-Endometriosis in the GI Tract

Fahd Jowhari, Pearl Behl, Sean Pritchett
In: Canadian Journal of General Internal Medicine · 2015 · vol. 10(4) , pp. 50–52 · doi:10.22374/cjgim.v10i4.91 · W2291575151
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Abstract

Summary Endometriosis is typically marked by the implantation and proliferation of foci of endometrial stroma and glands outside the endometrial cavity and uterine musculature. Extra-gonadal seeding has been observed in sites like the small and large bowel, peritoneum, appendix, pleura, umbilicus, old wound scars, subarachnoid space, inguinal canal, heart and lungs. 14 , 7 The gastrointestinal tract is the third most common localization of endometriosis after the ovaries and the peritoneum, with intestinal involvement being reported in about 12 to 37% of individuals. 1 , 2 , 5 - 7 Establishing a diagnosis of intestinal endometriosis can often be a diagnostic challenge. We present an interesting case of sigmoidal endometriosis in a 46-year-old female, whose initial presentation was irregular bowel movements with rectal bleeding.

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endometriosis

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