Bowel endometriosis: a diagnostic and therapeutic challenge

Ng BK, Beng Kwang Ng, Su Ee Phon, Phon SE, Ani Amelia Zainuddin, Wendy Yin Ling Ng, Ng WYL, Nordashima Abd Shukor, Pei Shan Lim, Lim PS
Hormone molecular biology and clinical investigation · 2017 · vol. 33(3) · doi:10.1515/hmbci-2017-0051 · PMID:28877032 · W2752305811
Case report OA: closed CC0 ⤵ 2 in-corpus citations
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This case report details the diagnosis of bowel endometriosis via biopsy after CT and colonoscopy in a woman presenting with dyschezia and hematochezia, who subsequently became asymptomatic with dienogest treatment.

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Abstract

Bowel endometriosis is the most common extragenital manifestation of endometriosis. Clinical suspicion is of utmost importance for achieving its diagnosis. Management of this condition is, however, always challenging to the gynaecologist. We report a case of bowel endometriosis in which the patient presented with dyschezia and haematochezia prior to her menses for the past 2 years. A 44-year-old para two woman presented with worsening dysmenorrhea and dyspareunia. She also experienced dyschezia and haematochezia prior to her menses for the past 2 years. An examination revealed a fixed retroverted uterus. A computed tomography scan showed focal bowel thickening. She underwent a colonoscopy examination and biopsy that revealed stromal endometriosis. She was subsequently treated with dienogest and became asymptomatic. Diagnosis and management of this debilitating illness was revisited and discussed.

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Condition tags

endometriosisbowel_endometriosisdysmenorrheadyspareunia

MeSH descriptors

Colon Endometriosis Endometriosis Adult Adult Biomarkers Biomarkers Biopsy Biopsy Colon Colon Combined Modality Therapy Combined Modality Therapy Endometriosis Endometriosis Female Female Humans Humans Intestinal Mucosa

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (15)

Cited by (2)

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License: CC0 · commercial use OK