CONTEXT: Endometriosis is characterized by the presence of endometrial tissue outside the uterine cavity, which is commonly detected in gynecological practice but rarely reported as a coloproctological disorder. The objective of the present report was to discuss a rare case of postmenopausal intestinal endometriosis simulating a malignant lesion, following a review of the literature. CASE REPORT: A 74-year-old woman with complaints of hematochezia and tenesmus of two months' duration accompanied by liquid feces and pelvic pain, but with no other gastrointestinal or gynecological complaints, was referred to our service. She had been menopausal for 22 years, with no hormone replacement treatment, and had undergone panhysterectomy three years before the referral to us, due to endometrial thickening and a right adnexal cyst. Five months before this referral, she had undergone laparotomy due to acute obstructive abdomen, which revealed a tumor mass involving the small bowel. Anatomopathological examination of the enterectomy suggested a hypothesis of intestinal endometriosis. A proctological examination was normal. Computed tomography of the pelvis revealed thickening of the rectosigmoid transition and colonoscopy revealed friable tumor formation in the rectum. A biopsy of the lesion revealed mucosal fragments of endometrial type, which led to a review of the previous anatomopathological examination. The patient underwent rectosigmoidectomy with protective transversotomy, with a good postoperative course, and anatomical examination confirmed the intestinal endometriosis. The patient subsequently suffered a stenosing recurrence of the lesion and has undergone colostomy since then.

PURPOSE: Colonoscopy plays an essential role in the therapeutic and diagnostic approach in various colonic pathologies, the aim of the present study was to compare three solutions and their efficacy for the bowel preparation in adult patients submitted to elective colonoscopy. METHODS: Sixty patients were randomly divided into three groups of 20 each. Each group was submitted to a bowel preparation with one of the following solutions: 10% manitol, sodium picosulphate or sodium phosphate. The parameters evaluated were: taste, tolerance, associated side effects and quality of cleansing. Postural blood pressure and pulse rate as well as serum sodium, potassium, calcium and phosphate were compared. RESULTS: Sodium phosphate and 10% manitol solutions provided superior results in terms of colon cleansing compared to sodium picosulphate solution. All serum electrolytes evaluated were significantly altered in the three groups, without important clinical signs. DISCUSSION: High levels of serum phosphate were the most striking alteration in patients prepared with sodium phosphate solution, again with no clinical signs. Variations related to blood pressure and pulse rate suggested contraction of intravascular volume, with no clinical effects. CONCLUSION: Sodium phosphate and 10% manitol solutions are equivalent in providing good quality colon cleansing, with no significant side effects that could compromise the procedure.

Para que possamos compreender bem os sucessos transformadores do espaço doméstico, especialmente o abrigado, ocorridos entre nós a partir da segunda metade do século XIX,é necessário que tenhamos uma ,notícia, mesmo que breve, da casa de morada vinda dos tempos de colõnia. E o que tentaremos fazer.É claro que herdamos de Portugal as normas relativas à construção de uma casa de morada. Ocorreu, no entanto, que, em terras portuguesas, devido à imensa variedade de paisagens, cada qual com seus recursos e à presença árabe por mais de seiscentos anos no sul do país, a arquitetura popular assumiu aspectos muitovariados, decorrentes tanto da diversidade de técnicas construtivas empregadas como dos climas vários e, o que é importante, como dos programas de necessidade, os norteadores bósicos do partido arquitetõnico.O geógrafo português Orlando Ribeiro é quem nos faz, em seus livros, um retrato de Portugal fácil de ser compreendido, para explicar a diversidade das soluções arquitetõnicas populares ocorridas naquele país, que pode se orgulhar de possuir várias arquiteturas ditas "vernáculos" concomitantemente.No sul, que ele chamou de mediterrâneo, embora esteja situado aquém Gibraltar, as casas são de terra, isto é, de taipa de pilão, de adobes ou de tijolos cozidos, todas organicamente aderidos ao relevo do solo. As casas da arquitetura rural, os "montes", são imensas, com grandes telhados cobrindo atividades várias além daquelas do simples morar. Nas grandes planí-cies de céu sempre azul, casas que se caracterizam pelas chaminés elaboradas. Chaminés que confortavelmente permitiam a culinária, no entanto, não querendo, ou não precisando, corrigir o desconforto de frios invernois, já que ali o clima é sempre brando e amigo do sol. 95Anais do Museu Paulista Nova Série NQ 1 1993

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