[Stenotic endometriosis of the sigmoid. Apropos a case]

F Mosca, Mosca F, Fabio Mosca, Stracqualursi A, A Stracqualursi, Giovanni Lipari, G Lipari, Lipari G, Zappalà O, Orazio Zappalà, O Zappalà, G Alongi, Alongi G
Il Giornale di chirurgia · 2000 · vol. 21(3) , pp. 99–103 · PMID:10810818 · W2398960402
Review OA: closed CC0 ⤵ 3 in-corpus citations
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This case report details a stenotic sigmoid endometriosis presenting with constipation and dysmenorrhea, which was only diagnosed pathologically after initial non-diagnostic imaging and endoscopy.

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Abstract

The authors report a rare case of stenotic sigmoid endometriosis which presented with constipation and dysmenorrhea in a 48-year-old woman without past gynecological history. There were no typical radiological and endoscopic findings and only pathological examination revealed endometriosis. The patient did well after sigmoid resection and bilateral salpingo-oophorectomy and has had no further complaints. The authors stress the rare location of the disease and review the literature about etiopathogenetic hypotheses and pathological features. The diagnostic value of clinical examination, barium enema and colonoscopy is low as endometriosis rarely involves the mucosa. This case led the authors to discuss about diagnostic difficulties, differential diagnosis and therapeutic options.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Colon, Sigmoid Endometriosis Sigmoid Diseases Colon, Sigmoid Colon, Sigmoid Colon, Sigmoid Constipation Constipation Constipation Constipation Constriction, Pathologic Constriction, Pathologic Constriction, Pathologic Constriction, Pathologic Constriction, Pathologic Constriction, Pathologic Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea

Citation neighborhood (sparse)

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Cited by (3)

Cited by (3)

Source provenance

europepmc
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License: CC0 · commercial use OK