Rectosigmoid Endometriosis

In: MRI of Gynaecological Diseases · 2023 · pp. 245–247 · doi:10.1007/978-981-99-3644-1_46 · W4388578965
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This case report details a 28-year-old female with a history of dysmenorrhea, pelvic mass, and hematochezia during menstruation, who underwent surgery for ovarian endometrioid cyst and intestinal adhesion.

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This chapter describes a single 28-year-old woman with a 5-year history of dysmenorrhea, later found to have a pelvic mass and cyclic hematochezia during menstruation. Colonoscopy was attempted but could not pass the sigmoid colon, and the patient underwent left ovarian endometrioid cyst dissection along with surgery to release intestinal adhesions. The report’s key limitation is that it is a single-case narrative with no comparative diagnostic or outcome analysis. This paper is centrally about endometriosis — it specifically focuses on rectosigmoid (deep intestinal) endometriosis presentation and management in a case.

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Abstract

In a 28-year-old female patient who had dysmenorrhea for 5 years, a pelvic mass was found 2 years ago, and hematochezia during menstruation was found one year ago. The patient underwent colonoscopy; during the examination, the colonoscopy was blocked and failed when the sigmoid colon was reached. The patient underwent left ovarian endometrioid cyst dissection and decomposition of intestinal adhesion. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Jha P, Sakala M, Chamie LP, et al. Endometriosis MRI lexicon: consensus statement from the society of abdominal radiology endometriosis disease-focused panel. Abdom Radiol (NY). 2020;45(4):1552. Jaramillo-Cardoso A, Shenoy-Bhangle AS, VanBuren WM, Schiappacasse G, Menias CO, Mortele KJ. Imaging of gastrointestinal endometriosis: what the radiologist should know. Abdom Radiol (NY). 2020;45(6):1694–710. https://doi.org/10.1007/s00261-020-02459-w. PMID: 32236651. Netter A, D’Avout-Fourdinier P, Agostini A, et al. Progression of deep infiltrating rectosigmoid endometriotic nodules. Hum Reprod. 2019;34(11):2144–52. Bazot M, Kermarrec E, Bendifallah S, et al. MRI of intestinal endometriosis. Best Pract Res Clin Obstet Gynaecol. 2021;71:51–63. Varela C, Zulfiqar M, Schiappacasse G, et al. ‘Fortune cookie sign’: a variant of mushroom cap sign on T2 weighted MRI for deep sigmoid endometriosis. Abdom Radiol (NY). 2020;46:1272. Robinson KA, Menias CO, Chen L, Schiappacasse G, Shaaban AM, Caserta MP, Elsayes KM, VanBuren WM, Bolan CW. Understanding malignant transformation of endometriosis: imaging features with pathologic correlation. Abdom Radiol (NY). 2020;45(6):1762–75. https://doi.org/10.1007/s00261-019-01914-7. PMID: 30941451. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Gu, S., Ning, Y. (2023). Rectosigmoid Endometriosis. In: Zhang, G. (eds) MRI of Gynaecological Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-3644-1_46 Download citation DOI: https://doi.org/10.1007/978-981-99-3644-1_46 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-99-3643-4 Online ISBN: 978-981-99-3644-1 eBook Packages: MedicineMedicine (R0)

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endometriosis

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