DOI: http://dx.doi.org/10.18203/2349-2902.isj20210953

A rare presentation of rectal endometriosis

Arnab Mohanty, Debarghya Chatterjee

Abstract


Endometriosis is the ectopic growth of viable endometrium outside the uterus, affecting approximately 7% women. It can occur in the absence of visible pelvic disease. Most common sites are gastrointestinal and urinary tract. Common sites of involvement are rectosigmoid (51%), appendix (15%), small bowel (14%), rectum (14%), cecum and colon (5%). Cyclical hematochezia is a definitive, but rare association of intestinal endometriosis. The diagnosis of colonic endometriosis is also difficult owing to the poor diagnostic yield of colonoscopy.  

 


Keywords


Rectal endometriosis, Perforation peritonitis, Perimenopausal

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References


Garg NK, Bagul NB, Doughan S, Rowe PH. Intestinal endometriosis-a rare cause of colonic perforation. World journal of gastroenterology. WJG. 2009;15(5):612.

Jiang W, Roma AA, Lai K, Carver P, Xiao SY, Liu X. Endometriosis involving the mucosa of the intestinal tract: a clinicopathologic study of 15 cases. Modern pathology. 2013;26(9):1270-8.

Badipatla KR, Vupputuri A, Niazi M, Blaise MN, Nayudu SK. Colonic endometriosis: dig deeper for diagnosis. Gastroenterology Research. 2017;10(1):59.

Maggiore LRU, Ferrero S, Mangili G, Bergamini A, Inversetti A, Giorgione V, Vigano P, Candiani M. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes. Human reproduction update. 2016;22(1):70-103.

Nasim H, Sikafi D, Nasr A. Sigmoid endometriosis and a diagnostic dilemma–A case report and literature review. International journal of surgery case reports. 2011;2(7):181-4.

Jinushi M, Arakawa A, Matsumoto T, Kumakiri J, Kitade M, Kikuchi I, Sakamoto K, Takeda S. Histopathologic analysis of intestinal endometriosis after laparoscopic low anterior resection. Journal of minimally invasive gynecology. 2011;18(1):48-53.

Yue Z. Bowel endometriosis: an overview. J Gastroint Dig Syst. 2014;4(186):2.

Thanassery RB, Sinha SK, Yadav TD, Galle AD, Vaiphei K, Singh K. Endometriosis causing small bowel obstruction. Tropical Gastroenterology. 2014;34(3):188-91.