Vascular Involvement: An Uncommon Histologic Finding of Rectal Endometriosis

Mousa Mobarki, Tanguy Fenouil, Pierre-Marie Lavrut, Pierre‐Marie Lavrut, Maud Rabeyrin, Georgia Karpathiou, Valerie Hervieu, Valérie Hervieu
International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2020 · vol. 40(5) , pp. 518–521 · doi:10.1097/pgp.0000000000000734 · PMID:33252402 · W3110118146
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes rectal endometriosis with vascular and lymph node involvement, an uncommon finding that may be mistaken for a neoplastic process.

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Abstract

Deep infiltrating endometriosis frequently affects the rectosigmoid region. It clinically presents as a chronic painful condition affecting women in their reproductive time. Here, we present a case of a 28-yr-old female patient who had a history of dysmenorrhea, dyspareunia, chronic abdominal and pelvic pain, and constipation secondary to rectal wall endometriosis. Microscopic examination of the resected rectal segment showed endometriosis with vascular and lymph node involvement. Vascular involvement is an uncommon histologic finding that may raise concern for potential malignancy. The aim of this report is to alert pathologists and physicians about this infrequent pitfall that can be mistaken for a neoplastic process and to discuss the underlying pathophysiology of vascular involvement by endometrial tissue in otherwise benign conditions.

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Condition tags

mesh:D004412mesh:D004414mesh:D004715mesh:D017699endometriosisdie_deep_infiltratingdysmenorrheadyspareunia

MeSH descriptors

Constipation Dysmenorrhea Dyspareunia Endometriosis Pelvic Pain Rectal Diseases Adult Constipation Constipation Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometriosis Endometriosis Female Humans Pelvic Pain Pelvic Pain 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.

References (13)

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