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A Journal on Surgery

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Chirurgia 2003 February;16(1):19-22

language: English

Endometriosis of the colon and terminal ileum. A case report

Erturk S., Cepni I., Yuceyar S., Emirleroglu M., Ocal P., Cengiz A., Kafadar Y., Dogusoy G.


Endometriosis is defined as the presence of functioning ectopic endometrial tissue outside the uterus. This condition affects 5-20% of menstruating women. The most common locations are the ovaries, uterine ligaments and rectovaginal septum. Gastrointestinal (GI) tract involvement is seen less common and occurs in approximately 5% of cases. GI involvement commonly affects those segments of bowel in proximity to the genital organs, with the rectosigmoid region more frequently involved than the ileum. Patient presentation has varied from incidental finding at laparatomy to bowel obstruction and perforation. In this report, a rare case of endometriosis involving both terminal ileum and rectosigmoid junction in 33 year-old female patient is presented. Crampy lower abdominal pain, dysmenorrhea and cyclic rectal bleeding during mensturation were main symptoms. Physical examination was normal. Double-contrasted barium enema demonstrated a mass located in the rectosigmoid region. By rigit sigmoidoscopy, fragile, hyperemic and easily bleeding lesions was seen at 10th cm from anal verge, and endoscopic biopsy was obtained for pathologic examination. However, biopsy failed to reveal exact diagnosis. The patient was treated with resection of the involved segments. Histopathological examination showed endometriosis of both locations.

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