Exceptional cause of bowel obstruction: rectal endometriosis mimicking carcinoma of Rectum - a case report

Autor: Selim Sassi, Mahdi Bouassida, Hassen Touinsi, Mohamed Mongi Mighri, Sonia Baccari, Fathi Chebbi, Khaled Bouzeidi, Sadok Sassi
Jazyk: English<br />French
Rok vydání: 2011
Předmět:
Zdroj: The Pan African Medical Journal, Vol 10, Iss 33 (2011)
Druh dokumentu: article
ISSN: 1937-8688
DOI: 10.11604/pamj.2011.10.33.1027
Popis: Endometriosis with intestinal serosal involvement is not uncommon in women of childbearing age. However, endometriosis presenting as colon obstruction is rare and occurs in less than 1% of cases. The Lack of pathognomonic signs makes the diagnosis difficult, mostly because the main differential diagnosis is with neoplasm, even during the intervention. Reported here is a case of a 35-year �old woman presenting with bowel obstruction due to rectal endometriosis. The patient presented signs and symptoms of bowel obstruction. Colonoscopy and radiological findings were suggestive of rectal carcinoma. Surgeons performed an anterior resection with right salpingectomy. Histopathology diagnosed bowel endometriosis. This case demonstrates the difficulty of establishing an accurate pre- and intra- operative diagnosis and the ability of intestinal endometriosis to mimic colon cancer.
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