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Katsikogiannis N, Tsaroucha A, Dimakis K, et al. Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report. J Med Case Rep. 2011;5:320doi: 10.1186/1752-1947-5-320.
Katsikogiannis, N., Tsaroucha, A., Dimakis, K., Sivridis, E., & Simopoulos, C. (2011). Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report. Journal of medical case reports, 5320. https://doi.org/10.1186/1752-1947-5-320
Katsikogiannis, N, et al. "Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report." Journal of medical case reports vol. 5 (2011): 320. doi: https://doi.org/10.1186/1752-1947-5-320
Katsikogiannis N, Tsaroucha A, Dimakis K, Sivridis E, Simopoulos C. Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report. J Med Case Rep. 2011 Jul 20;5:320. doi: 10.1186/1752-1947-5-320. PMID: 21774792; PMCID: PMC3158121.
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J Med Case Rep. 2011 Jul 20;5:320. doi: 10.1186/1752-1947-5-320.

Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report.

Journal of medical case reports

N Katsikogiannis, Ak Tsaroucha, K Dimakis, E Sivridis, Ce Simopoulos

Affiliations

  1. Second Department of Surgery, Medical School, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, Greece. [email protected].

PMID: 21774792 PMCID: PMC3158121 DOI: 10.1186/1752-1947-5-320

Abstract

INTRODUCTION: Endometriosis is a clinical entity which presents with functioning endometrial tissue at sites outside the uterus. Bowel endometriosis is usually asymptomatic, but it may show non-specific symptoms. The presence and/or association of appendiceal endometriosis, concomitant with rectal endometriosis, is possible.

CASE PRESENTATION: A 36-year-old Greek woman was admitted to the emergency room of our hospital with signs of acute abdomen. On physical examination, our patient had a painful distended abdomen. Digital examination revealed an empty rectum and bowel obstruction was diagnosed. Our patient underwent exploratory laparotomy and rectum stenosis (almost complete obstruction) was observed. The bowel stenosis was resected, and temporary colostomy and appendectomy were performed. The pathology report showed endometriosis of the colon and the appendix, and our patient received medical treatment for endometriosis. Six months after this operation our patient had another surgery for restoration of large bowel continuity. No endometriosis was found. Our patient was doing well at the one-year follow up.

CONCLUSION: Endometriosis of the bowel is a disease that may cause large bowel obstruction. In women of reproductive age, the surgeon should consider endometriosis as a differential diagnosis in case of various gastrointestinal symptoms.

References

  1. World J Gastroenterol. 2010 Feb 7;16(5):648-51 - PubMed
  2. J Med Case Rep. 2009 Nov 18;3:135 - PubMed
  3. J Med Case Rep. 2008 Jan 22;2:12 - PubMed
  4. Eur J Surg. 1992 Jan;158(1):7-12 - PubMed
  5. Tech Coloproctol. 2010 Nov;14 Suppl 1:S87-9 - PubMed
  6. Gastroenterology. 1950 Apr;14(4):576-9 - PubMed
  7. Lancet. 1992 Nov 21;340(8830):1264-7 - PubMed
  8. Gynecol Oncol. 2002 Aug;86(2):220-2 - PubMed
  9. J Med Case Rep. 2010 Aug 04;4:248 - PubMed
  10. Fertil Steril. 2006 Aug;86(2):298-303 - PubMed
  11. Colorectal Dis. 2008 Jun;10(5):520-1 - PubMed
  12. Lancet. 2004 Nov 13-19;364(9447):1789-99 - PubMed
  13. Intern Emerg Med. 2010 Dec;5(6):463-7 - PubMed
  14. Am J Obstet Gynecol. 1977 Oct 1;129(3):245-50 - PubMed
  15. Ky Med J. 1950 Jan;48(1):20-7 - PubMed
  16. Yonsei Med J. 2009 Oct 31;50(5):732-5 - PubMed
  17. Turk J Gastroenterol. 2005 Mar;16(1):48-51 - PubMed
  18. Tech Coloproctol. 2008 Mar;12(1):57-9 - PubMed
  19. Dis Colon Rectum. 1994 Aug;37(8):747-53 - PubMed
  20. Arch Surg. 1988 Jul;123(7):855-8 - PubMed

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