Sigmoid endometriosis in a post-menopausal woman leading to acute large bowel obstruction: A case report
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This case report describes a post-menopausal woman who presented with acute large bowel obstruction due to sigmoid endometriosis, mimicking a malignant stricture.
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Abstract
INTRODUCTION: Endometriosis is usually a disease involving women of reproductive age. Colonic endometriosis is a rare sequelae. It usually presents vaguely with nonspecific abdominal pain, dyspareunia, fecal tenesmus, rectal bleeding or painful defecation. There are very few case reports of sigmoid endometriosis in the literature, more so ones involving post-menopausal women. Our report highlights such a case, mimicking a malignant rectosigmoid stricture leading to a large bowel obstruction. CASE PRESENTATION: A 63year old lady was referred by her General Practitioner for further investigation of recent altered bowel habit. She underwent an incomplete colonoscopy due to stricturing in the sigmoid. She subsequently was admitted with abdominal pain, distension and vomiting, with imaging consistent with a large bowel obstruction secondary to a stricturing mass within the rectosigmoid which was suspicious for malignancy. An emergency laparotomy and Hartmann's procedure was performed. She had an uncomplicated post-surgical recovery. Histology revealed no underlying malignancy, but confirmed colonic endometriosis. CONCLUSION: This case report shows that colonic endometriosis, although rare, can be significantly infiltrative and lead to complications such as a large bowel obstruction. Diagnosing this condition can be challenging and usually requires histological confirmation.
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References (6)
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Cited by (10)
- Complications of deep infiltrative endometriosis of gastrointestinal tract 2024
- Rare Case of Mechanical Intestinal Obstruction: Cecal Endometriosis 2024
- Endometriosis as an Uncommon Cause of Intestinal Obstruction-A Comprehensive Literature Review 2023
- Endometriosis Causing Large Bowel Obstruction: A Case Report 2023
- Endometriosis of the Sigmoid Colon Mimicking Malignant Lesion 2021
- Endometriosis pelvicaextragenital como presentación de abdomen agudo obstructivo en mujer posmenopáusica. Reporte de caso. 2021
- Association Between Bowel Obstruction or Intussusception and Endometriosis 2021
- Symptomatic endometriosis developing several years after menopause in the absence of increased circulating estrogen concentrations: a systematic review and seven case reports 2019
- Bowel endometriosis: a diagnostic and therapeutic challenge 2017
- Endometriosis: A Rare Cause of Large Bowel Obstruction 2017
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- pubmed
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