A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
| Autor: | Akiko Sasaki, Kazuya Koizumi, Karen Kimura, Junichi Tasaki, Sakue Masuda, Makoto Kako, Tomohiko Tazawa, Hideto Egashira, Takashi Nishino, Kosuke Tanaka, Shinichi Teshima, Chikamasa Ichita |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
endometriosis Abdominal pain medicine.medical_specialty Colorectal cancer Biopsy Endometriosis Case Report lower gastrointestinal endoscopy Targeted biopsy Menstruation Internal Medicine medicine Humans medicine.diagnostic_test business.industry Rectum rectovaginal endometriosis General Medicine Middle Aged During menstruation medicine.disease Hematochezia Endoscopy targeted biopsy Female Radiology medicine.symptom business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | We herein report the definitive diagnosis of rectovaginal endometriosis in two cases. Case 1 involved a 46-year-old woman with abdominal pain and hematochezia. The diagnosis after the first and second examinations using lower gastrointestinal (GI) endoscopy was unclear. Differential diagnoses included mucosa-associated lymphoid tissue and colorectal cancer. The third lower GI endoscopy with a targeted biopsy, performed during menstruation, confirmed rectovaginal endometriosis. Case 2 involved a 38-year-old woman with hematochezia. Lower GI endoscopy during menstruation revealed rectovaginal endometriosis. When rectovaginal or bowel endometriosis is suspected, lower GI endoscopy and a targeted biopsy during menstruation can prevent unnecessary surgery. |
| Databáze: | OpenAIRE |
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