Rectal bleeding in a young woman

Carrión-García F, Fuensanta Carrión-García, Maté-Ambelez A, Ana Maté-Ambelez, Senador Morán-Sánchez, Morán-Sánchez S, Aida Ramos-Alcalá, Ramos-Alcalá A, Carmen López-Peña, López-Peña C
Revista espanola de enfermedades digestivas · 2011 · vol. 103(11) , pp. 603–4, 606-7 · doi:10.4321/s1130-01082011001100015 · PMID:22149570
Case report OA: hybrid CC-BY-NC-4.0
📄 Open PDF Full text JSON View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-07-29 ⓘ

This case report details a 37-year-old woman with intermittent rectal bleeding and abdominal pain, ultimately diagnosed with rectal endometriosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-06 · read from full text ⓘ

This case report describes a 37-year-old woman presenting with intermittent painless rectal bleeding that coincided with her menstrual cycle, alongside abdominal pain. Initial colonoscopy identified a sessile polypoid mass in the rectum, and subsequent immunohistochemical analysis for CD10 and estrogen receptors confirmed the presence of endometrial stromal cells within the lesion. The diagnosis was established as rectal endometriosis after ruling out malignancy and other epithelial dysplasias through biopsy and imaging. This paper is centrally about endometriosis — specifically, it details the clinical presentation, diagnostic challenges, and histological confirmation of deep infiltrating rectal endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 4,909 characters · extracted from oa-pdf · 2 sections · click to expand

Discussion

Rectal endometriosis symptoms are usually nonspecific: abdominal or pelvic pain, constipation, tenesmus, and more rarely, intestinal obstruction or rectal bleeding. Therefore, rectal endometriosis should be considered in the differential diagnosis of rectal submucosal masses in women of childbearing age, espe- cially if gynecological symptoms or infertility history are referred. It is also important to emphasize the difficulties performing colonoscopy in these scenarios due to adhesions resulting of colonic wall and peritoneum involvement. Fuensanta Carrión-García 1, Ana Maté-Ambelez1, Senador Morán-Sánchez1, Aida Ramos-Alcalá2, and Carmen López-Peña3 Departments of 1Digestive Diseases, 2Radiodiagnostic and 3Pathology. Hospital Universitario Santa María del Rosell. Cartagena. Murcia, Spain CR_2031-Carrion.ing_PLANTILLA CARTA DIRECTOR 18/11/11 13:36 Página 606 Vol. 103, N.° 11, 2011 LETTERS TO THE EDITOR 607 REV ESP ENFERM DIG 2011; 103 (11): 606-607

References

1. Giannella L, La Marca A, Ternelli G, Menozzi G. Rectus abdominis muscle endometriosis: case report and review of the literature. J Obstet Gynaecol Res 2010;36(4):902-6. 2. Mounsey AL, Wilgus A, Slawson DC. Diagnosis and management of endometriosis. Am Fam Physician 2006;74:594-600. 3. Oral ES, Oral C, Akin O, Yapicier OK, Tarlakazan K. A case of rectal endometriosis presenting as extramucosal rectal mass. Turk J Gastro- enterol 2006;17:246-7. 4. Delpy R, Barthet M, Gasmi M, Berdah S, Shojai R, Desjeux A, et al. Value of endorectal ultrasonography for diagnosis rectovaginal septal endometriosis infiltrating the rectum. Endoscopy 2005;37:357-61. 5. Buthani MS. Recent developments in the role of endoscopic ultrasono- graphy in diseases of the colon and rectum. Curr Opin Gastroenterol. 2007;23:67-73. 6. Armendariz R. Utilidad de la ecoendoscopia en el diagnóstico de la endometriosis rectal. Libro de Comunicaciones de la XXVII Jornada Nacional de la Sociedad Española de Endoscopia Digestiva. Madrid, 25 y 26 de noviembre de 2005. Fig. 1. Correlation between macroscopic image and biopsies (CD 10 receptors). CR_2031-Carrion.ing_PLANTILLA CARTA DIRECTOR 18/11/11 13:36 Página 607

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-pdf ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Endometriosis Gastrointestinal Hemorrhage Rectal Diseases Adult Adult Endometriosis Endometriosis Endometriosis Female Female Gastrointestinal Hemorrhage Gastrointestinal Hemorrhage Humans Humans Rectal Diseases Rectal Diseases Rectal Diseases

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

europepmc
last seen: 2026-10-18T09:30:06.152893+00:00
pubmed
last seen: 2026-10-08T21:09:44.076416+00:00
unpaywall
last seen: 2026-05-16T02:00:00.672124+00:00
License: CC-BY-NC-4.0 · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine