IMR Press / EJGO / Volume 23 / Issue 4 / pii/2002184

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report

Endometriosis causing extensive intestinal obstruction simulating carcinoma of the sigmoid colon: a case report and review of the literature

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1 Department of Gynaecology, “George Gennimatas” General State Hospital cl Athens, Athens (Greece)
2 First Department of General Surgery, “George Gennimatas” General State Hospital cl Athens, Athens (Greece)
3 Department of Pathology, “George Gennimatas” General State Hospital cl Athens, Athens (Greece)
Eur. J. Gynaecol. Oncol. 2002, 23(4), 353–357;
Published: 10 August 2002
Abstract

Endometriosis with intestinal serosal involvement is not uncommon in women of childbearing age, however, presentation as colon obstruction is rare. Lack of pathognomonic symptoms makes diagnosis difficult, the main problem being differential diagnosis with neoplasm, even intraoperatively. Reported here is a case of extensive bowel obstruction due to sigmoid colon endometriosis in a 43-year-old woman who presented with signs and symptoms of bowel obstruction. Barium enema showed sigmoid obstruction; sub­sequent exploratory laparotomy showed the sigmoid colon surrounded by fibrous tissue, leading to its angulation and extensive lumen obstruction. Left oophorectomy and radical resection of descending and sigmoid colon as for bowel carcinoma were suc­cessfully employed. Pathological examination revealed endometriosis in the bowel wall with preservation of the mucosa. Aetiology, clinical presentation, differential diagnosis and therapeutic options for intestinal obstruction due to endometriosis are discussed.

Keywords
Endometriosis
Gastrointestinal tract
Bowel endometriosis
Intestinal obstruction
Bowel carcinoma
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