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A case of recto-sigmoid endometriosis mimicking carcinoma

INTRODUCTION: Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal and lymph node involvement is rare and differential diagnosis from colon cancer and diverticulitis may be difficult due to poor diagnostic accuracy of colonoscopy and colon...

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Autores principales: Rana, Ritu, Sharma, Sandeep, Narula, Harjeet, Madhok, Brijesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870527/
https://www.ncbi.nlm.nih.gov/pubmed/27330909
http://dx.doi.org/10.1186/s40064-016-2221-6
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author Rana, Ritu
Sharma, Sandeep
Narula, Harjeet
Madhok, Brijesh
author_facet Rana, Ritu
Sharma, Sandeep
Narula, Harjeet
Madhok, Brijesh
author_sort Rana, Ritu
collection PubMed
description INTRODUCTION: Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal and lymph node involvement is rare and differential diagnosis from colon cancer and diverticulitis may be difficult due to poor diagnostic accuracy of colonoscopy and colonic biopsies. CASE PRESENTATION: We present a case of a nulliparous woman presenting with large bowel obstruction. She underwent emergency sigmoid colectomy based on clinical and radiological findings. At operation, the pathology was thought to be primary sigmoid tumour. However, histopathological examination of the sigmoid colon led to the final diagnosis of large intestinal endometriosis. CONCLUSION: Rectosigmoid endometriosis is often difficult to diagnose but should be considered in differential diagnosis of child bearing aged women with lower gastrointestinal tract obstruction.
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spelling pubmed-48705272016-06-21 A case of recto-sigmoid endometriosis mimicking carcinoma Rana, Ritu Sharma, Sandeep Narula, Harjeet Madhok, Brijesh Springerplus Case Study INTRODUCTION: Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal and lymph node involvement is rare and differential diagnosis from colon cancer and diverticulitis may be difficult due to poor diagnostic accuracy of colonoscopy and colonic biopsies. CASE PRESENTATION: We present a case of a nulliparous woman presenting with large bowel obstruction. She underwent emergency sigmoid colectomy based on clinical and radiological findings. At operation, the pathology was thought to be primary sigmoid tumour. However, histopathological examination of the sigmoid colon led to the final diagnosis of large intestinal endometriosis. CONCLUSION: Rectosigmoid endometriosis is often difficult to diagnose but should be considered in differential diagnosis of child bearing aged women with lower gastrointestinal tract obstruction. Springer International Publishing 2016-05-17 /pmc/articles/PMC4870527/ /pubmed/27330909 http://dx.doi.org/10.1186/s40064-016-2221-6 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Study
Rana, Ritu
Sharma, Sandeep
Narula, Harjeet
Madhok, Brijesh
A case of recto-sigmoid endometriosis mimicking carcinoma
title A case of recto-sigmoid endometriosis mimicking carcinoma
title_full A case of recto-sigmoid endometriosis mimicking carcinoma
title_fullStr A case of recto-sigmoid endometriosis mimicking carcinoma
title_full_unstemmed A case of recto-sigmoid endometriosis mimicking carcinoma
title_short A case of recto-sigmoid endometriosis mimicking carcinoma
title_sort case of recto-sigmoid endometriosis mimicking carcinoma
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870527/
https://www.ncbi.nlm.nih.gov/pubmed/27330909
http://dx.doi.org/10.1186/s40064-016-2221-6
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