Endometriosis of the large bowel: A report of 11 cases

Robert Rowland, Rowland R, R. Rowland, Jenifer M. Langman, J M Langman, Langman JM
Pathology · 1989 · vol. 21(4) , pp. 259–265 · doi:10.3109/00313028909061070 · PMID:2633115 · W1973222476
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This report details 11 cases of endometriosis affecting the large bowel, describing its presentation and management.

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Abstract

The clinical and pathological features of 11 cases of large bowel endometriosis are reported, one of which also had lesions in the small intestine. All of the cases had rectal or rectosigmoid involvement. Altered bowel habit and pain were common symptoms but were rarely associated with the menstrual cycle. Sigmoidoscopy was generally unhelpful. Rectal or vaginal examination and barium enema often revealed a mass which was usually diagnosed preoperatively as a malignancy. A correct diagnosis was made preoperatively in only two cases; carcinoma was suspected in four and carcinoid in one case. Histological evidence of recent hemorrhage was confined to those cases where endometriosis seemed to be the major cause of intestinal symptoms. The colonic mucosa overlying the endometriotic deposits was commonly histologically abnormal. It showed a range of changes resembling colitis, solitary ulcer, prolapse or even neoplasm. An appreciation of these mucosal alterations is important to those reporting colonic and rectal biopsies; when observed to be focal in a female patient they should arouse a suspicion of endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Neoplasms Intestine, Large Intestine, Large Adult Aged Colon Colon Endometriosis Humans Intestinal Mucosa Intestinal Mucosa Intestinal Neoplasms Middle Aged

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.

References (19)

Cited by (20)

Source provenance

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