Pelvic Endometriosis Simulating Colonic Malignant Neoplasm

Sievert W, William Sievert, W. Sievert, J H Sellin, Sellin JH, C A Stringer, Stringer CA
Archives of internal medicine · 1989 · vol. 149(4) , pp. 935 · doi:10.1001/archinte.1989.00390040131028 · PMID:2705845 · W2090466378
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Endometriosis involving the rectosigmoid colon in three women mimicked colon cancer due to symptoms like obstruction and bleeding, requiring surgical resection for definitive treatment.

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Abstract

Three women had endometriosis that involved the rectosigmoid colon; their clinical presentation suggested primary colonic malignant neoplasm. Intestinal obstruction, weight loss, and, in two patients, rectal bleeding with radiologic evidence of a mass lesion that involved the rectosigmoid were present at initial evaluation. All patients eventually underwent colonic resection as definitive therapy. Endometriosis of the pelvic colon may mimic primary intestinal disease, mistakenly suggesting malignant neoplasm. Such symptoms in a young woman should prompt a search for endometriosis, which is a more likely diagnosis. Adequate therapy frequently requires surgical intervention.

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Condition tags

endometriosis

MeSH descriptors

Colonic Neoplasms Endometriosis Pelvic Neoplasms Adult Colonic Neoplasms Diagnosis, Differential Endometriosis Female Humans Pelvic Neoplasms

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 (27)

Cited by (21)

Source provenance

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License: CC0 · commercial use OK