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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
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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. |
format | Online Article Text |
id | pubmed-4870527 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
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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