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Case Reports
. 2022 Feb 20;10(2):e05222.
doi: 10.1002/ccr3.5222. eCollection 2022 Feb.

Rectosigmoid endometriosis: Diagnostic pitfalls and management - A case report

Athanasios Piachas  1 , Panagiotis Smyrnis  1 , Andreas Tooulias  1
Affiliations
Case Reports

Rectosigmoid endometriosis: Diagnostic pitfalls and management - A case report

Athanasios Piachas et al. Clin Case Rep. .

Abstract

Endometriosis constitutes a benign condition, occurring in 10%-12% of menstruating women. Bowel involvement is estimated to occur in 5%-12% with the rectosigmoid region involved in up to 90% of these cases. We present the case of a 45-year-old Caucasian female patient with rectosigmoid endometriosis.

Keywords: endometriosis; hemafecia; low gastrointestinal bleeding; rectosigmoid colon.

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Conflict of interest statement

None to declare.

Figures

FIGURE 1
FIGURE 1
Colonoscopy image showing revealed a 5‐cm stricture of the sigmoid colon, located 25 cm above the anal ring
FIGURE 2
FIGURE 2
CT scan disclosed symmetric thickening of proximal sigmoid colon with a wall thickness of 2 cm (white arrow). It also detected a cystic lesion in the right ovary
FIGURE 3
FIGURE 3
High T1‐weighted signal intensity of the ovarian cyst demonstrated the hemorrhagic content of the lesion
FIGURE 4
FIGURE 4
Gross appearance of the resected specimen with a visible endometrial implant on the serosal surface
FIGURE 5
FIGURE 5
Cross section through the bowel wall reveals a predominant fibrous mural mass resulting in a stricture
FIGURE 6
FIGURE 6
Biopsy of the resected colon revealed the presence of transmural endometrial glands surrounded by stroma
See this image and copyright information in PMC

References

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