Polypoid endometrioma of the rectosigmoid

B Bashist, K A Forde, Kenneth A. Forde, Raymond M. McCaffrey, R M McCaffrey
Gastrointestinal radiology · 1983 · vol. 8(1) , pp. 85–88 · doi:10.1007/bf01948095 · PMID:6832544 · W2077934864
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-10 ⓘ

This paper presents a case of an intraluminal endometrioma in the rectosigmoid that was successfully diagnosed via endoscopic biopsy.

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This paper describes a case of bowel endometriosis presenting as a polypoid intraluminal endometrioma in the rectosigmoid region, a pattern that typically involves protrusion into the lumen and may be intramural. The authors report that, unlike most cases of intestinal endometriosis which are rarely diagnosed on endoscopic biopsy, their patient had a positive endoscopic biopsy supporting the diagnosis. A key limitation is that the paper is essentially a single-patient case report, so diagnostic implications are constrained to the described scenario. This paper is centrally about endometriosis—specifically a polypoid endometrioma of the rectosigmoid with confirmatory endoscopic biopsy.

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Abstract

Endometriosis of the bowel most often involves the sigmoid and rectosigmoid and appears as an intramural mass protruding into the lumen in a polypoid or constricting fashion. Occasionally there is an intraluminal mass without obvious intramural involvement. Endometriosis of bowel is rarely diagnosed at endoscopic biopsy. We present a patient with an intraluminal endometrioma with a positive endoscopic biopsy. Similar content being viewed by others

References

Macafee CHG, Greer HLH: Intestinal endometriosis: a report of 29 cases and a survey of the literature.J Obstet Gynecol Br Commonw 67:539–555, 1960 Wietersen FK, Balow RM: Colonic endometriosis: roentgenologic aspects.Radiology 69:839–846, 1957 Benz EJ, Dockerty MB, Dixon CF: Polypoid endometrioma of the colon.Mayo Clin Proc 27:201–208, 1952 Meyers WC, Kelvin FM, Jones RS: Diagnosis and surgical treatment of colonic endometriosis.Arch Surg 114:169–175, 1979 Kratzer GL, Salvati EP: Collective review of endometriosis of the colon.Am J Surg 90:866–869, 1955 Livolsi VA, Perzin KH: Endometriosis of the small intestine, producing intestinal obstruction or simulating neoplasm.Dig Dis 19:100–108, 1974 Samson SA: Intestinal adenomas of endometrial type: their importance and their relation to ovarian hematomas of endometrial type.Arch Surg 5:217–280, 1922 Hauck AD: Endometriosis of the colon.Ann Surg 151:896–902, 1960 Spjut HJ, Perkins DE: Endometriosis of the sigmoid colon and rectum.AJR 82:1070–1075, 1959 Figiel LS, Figiel SJ: Lesions of the large intestine producing acute symptoms.Radiol Clin North Am 2:33–54, 1964 Fagan CJ: Endometriosis: clinical and roentgenographic manifestations.Radiol Clin North Am 12:109–125, 1974 Gordon RL, Evers K, Kressel HY, Laufer I, Herlinger H, Thompson JJ: Double contrast enema in pelvic endometriosis.AJR 138:549–552, 1982 Felson B, Wiot JF: Some interesting right lower quadrant entities.Radiol Clin North Am 7:83–95, 1969 Tedeschi LG, Masand GB: Endometriosis of the colon.Dis Colon Rectum 14:360–365, 1971 Sample WF: Endometrosis. In Sanders RC, James AE Jr (eds):The Principles and Practice of Ultrasonography in Obstetrics and Gynecology, 2nd Ed. New York: Appleton-Century-Crofts, 1980, pp 329–333 Ballon HC, Strean GJ, Simon MA: Obstructive ulcerated endometriosis of the rectum diagnosed by proctoscopic biopsy.JNL Can Med Assoc 74:817–820, 1956 Author information Authors and Affiliations Rights and permissions About this article Cite this article Bashist, B., Forde, K.A. & McCaffrey, R.M. Polypoid endometrioma of the rectosigmoid. Gastrointest Radiol 8, 85–88 (1983). https://doi.org/10.1007/BF01948095 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/BF01948095

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Rectal Neoplasms Sigmoid Neoplasms Sigmoidoscopy Endometriosis Endometriosis Female Humans Intestinal Polyps Intestinal Polyps Intestinal Polyps Middle Aged Rectal Neoplasms Rectal Neoplasms Sigmoid Neoplasms Sigmoid Neoplasms

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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