[Endoscopic Dilation to Treat One Case of Severe Intestinal Stenosis Caused by Endometriosis].

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AI-generated summary by gemini-2.5-flash-lite, 2026-06-09

Endoscopic dilation successfully treated severe sigmoid colon stenosis caused by endometriosis, extending the interval between recurrent stenosis from six months to four years.

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AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text

This paper reports a single 46-year-old woman with a long history of abdominal distention and constipation, in whom colonoscopy identified nodular protrusion in the sigmoid colon causing local intestinal stenosis that prevented passage of the endoscope. Biopsy pathology showed changes consistent with intestinal endometriosis. The patient received multiple endoscopic dilation treatments, and the time between recurrences of stenosis increased from 6 months to 4 years, with “good results” reported, while the main limitation is that this is a one-case report without broader generalizability. This paper is centrally about endometriosis — it describes endoscopic dilation for severe intestinal stenosis caused by intestinal endometriosis in the sigmoid colon.

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Abstract

A 46-year-old woman was admitted for repeated abdominal distention and constipation for more than 10 years and further deterioration for 5 years. Colonoscopy showed, in the sigmoid colon, nodular neoplasm protruding into the cavity, resulting in local intestinal stenosis, through which the endoscopy could not pass. Pathological findings of the biopsy sample revealed changes caused by intestinal endometriosis. The patient underwent multiple endoscopic dilatation treatments in our hospital and the interval between recurrences of intestinal stenosis was extended from 6 months to 4 years. Intestinal endometriosis can cause repeated intractable stenosis caused by the infiltration of ectopic glands in the intestinal wall, which usually requires surgical intervention. Herein, we report a case of severe intestinal stenosis caused by endometriosis in the sigmoid colon. Good results have been achieved through endoscopic dilatation treatment. This case suggests that endoscopic dilation has good application value in the treatment of this kind of disease, which needs further exploration and promotion.
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Abstract: A 46-year-old woman was admitted for repeated abdominal distention and constipation for more than 10 years and further deterioration for 5 years. Colonoscopy showed, in the sigmoid colon, nodular neoplasm protruding into the cavity, resulting in local intestinal stenosis, through which the endoscopy could not pass. Pathological findings of the biopsy sample revealed changes caused by intestinal endometriosis. The patient underwent multiple endoscopic dilatation treatments in our hospital and the interval between recurrences of intestinal stenosis was extended from 6 months to 4 years. Intestinal endometriosis can cause repeated intractable stenosis caused by the infiltration of ectopic glands in the intestinal wall, which usually requires surgical intervention. Herein, we report a case of severe intestinal stenosis caused by endometriosis in the sigmoid colon. Good results have been achieved through endoscopic dilatation treatment. This case suggests that endoscopic dilation has good application value in the treatment of this kind of disease, which needs further exploration and promotion.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Colon, Sigmoid Constriction, Pathologic Dilatation Female Humans Middle Aged

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References (7)

Source provenance

europepmc
last seen: 2026-08-13T06:15:24.848197+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:24:08.918168+00:00
License: CC0 · commercial use OK