A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases

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 includ...

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Autores principales: Tanaka, Kosuke, Sasaki, Akiko, Egashira, Hideto, Teshima, Shinichi, Kimura, Karen, Nishino, Takashi, Tazawa, Tomohiko, Tasaki, Junichi, Ichita, Chikamasa, Masuda, Sakue, Koizumi, Kazuya, Kako, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079915/
https://www.ncbi.nlm.nih.gov/pubmed/33116009
http://dx.doi.org/10.2169/internalmedicine.5430-20
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author Tanaka, Kosuke
Sasaki, Akiko
Egashira, Hideto
Teshima, Shinichi
Kimura, Karen
Nishino, Takashi
Tazawa, Tomohiko
Tasaki, Junichi
Ichita, Chikamasa
Masuda, Sakue
Koizumi, Kazuya
Kako, Makoto
author_facet Tanaka, Kosuke
Sasaki, Akiko
Egashira, Hideto
Teshima, Shinichi
Kimura, Karen
Nishino, Takashi
Tazawa, Tomohiko
Tasaki, Junichi
Ichita, Chikamasa
Masuda, Sakue
Koizumi, Kazuya
Kako, Makoto
author_sort Tanaka, Kosuke
collection PubMed
description 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.
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spelling pubmed-80799152021-05-11 A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases Tanaka, Kosuke Sasaki, Akiko Egashira, Hideto Teshima, Shinichi Kimura, Karen Nishino, Takashi Tazawa, Tomohiko Tasaki, Junichi Ichita, Chikamasa Masuda, Sakue Koizumi, Kazuya Kako, Makoto Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-10-28 2021-04-01 /pmc/articles/PMC8079915/ /pubmed/33116009 http://dx.doi.org/10.2169/internalmedicine.5430-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tanaka, Kosuke
Sasaki, Akiko
Egashira, Hideto
Teshima, Shinichi
Kimura, Karen
Nishino, Takashi
Tazawa, Tomohiko
Tasaki, Junichi
Ichita, Chikamasa
Masuda, Sakue
Koizumi, Kazuya
Kako, Makoto
A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
title A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
title_full A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
title_fullStr A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
title_full_unstemmed A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
title_short A Targeted Biopsy during Menstruation for the Definitive Diagnosis of Rectovaginal Endometriosis: A Report of Two Cases
title_sort targeted biopsy during menstruation for the definitive diagnosis of rectovaginal endometriosis: a report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079915/
https://www.ncbi.nlm.nih.gov/pubmed/33116009
http://dx.doi.org/10.2169/internalmedicine.5430-20
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