Colonic Endometriosis Mimicking Colon Cancer on a Virtual Colonoscopy Study: A Potential Pitfall in Diagnosis

Samet, Jonathan D.; Horton, Karen M.; Fishman, Elliot K.; Hruban, Ralph H.

doi:10.1155/2009/379578

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Little is known on the extragonadal development of endometrial tissue foci, and both the vascular dissemination and implantation theory might seemingly explain such ectopic implants (3). The frequency of extragonadal endometriosis in the bowel is estimated to involve 3%-37% of women with pelvic endometriosis, and most lesions are found in the sigmoid colon and rectum (4).…”

Section: Discussionmentioning

confidence: 99%

Malignant degeneration of rectal endometriosis

García-Marín¹,

Pellicer-Franco²,

Soria-Aledo³

et al. 2015

Rev Esp Enferm Dig

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Background: Endometriosis is a relatively common disease among women with child-bearing potential, and rare before puberty or following menopause. It consists of the presence of hormoneresponsive endometrium outside the endometrial cavity.Case report: We report the case of a patient with a rectal lesion, initially approached as a primary rectal malignancy, where histopathology eventually revealed an adenocarcinoma arising from endometrial tissue in the colonic wall.Discussion: Endometriosis has an estimated rated of 10-20%. Sites may be split up into two larger categories -gonadal and extragonadal. The frequency of extragonadal endometriosis in the bowel is estimated to involve 3%-37% of women with pelvic endometriosis, and most lesions are found in the sigmoid colon and rectum. The malignant transformation of endometriotic lesions is estimated between 0.3% and 1% of cases. The gold standard in the diagnosis of intestinal endometriosis is exploratory laparotomy and the pathological study of specimens. Adjuvant radiotherapy and chemotherapy, although used for some patients, have not proven effective.

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Section: Discussionmentioning

confidence: 99%

Malignant degeneration of rectal endometriosis

García-Marín¹,

Pellicer-Franco²,

Soria-Aledo³

et al. 2015

Rev Esp Enferm Dig

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“…Either through its symptoms and signs or its clinical picture, endometriosis can imitate other diseases with similar signs and symptoms. Samet et al [15] discuss colonic endometriosis, which perfectly imitates colon cancer: the lesion was not found to differ from the cancer under virtual endoscopy. Another example of imitation can be seen in another case opposite to the one described here.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis of colon as a cause mimicking Crohn’s disease: a potential pitfall in diagnosis

Śmigielski¹,

Woźniak²,

Brocki³

2013

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SummaryEndometriosis is a common condition in many women of the child-bearing age. It affects approximately 8-15% of the menstruating female population. Usually endometriosis can be found in the peritoneal cavity. Ectopic foci can be located in a number of other organs, such as the lung, gall bladder, retroperitoneal space, stomach, small and large intestine and pancreas. It is found beyond the peritoneal cavity in 0.2% of the population. Endometriotic foci in the colon have already been discussed, however, there is a rare type of this condition that imitates Crohn's disease. This paper presents a long-term disease which was diagnosed and treated as Crohn's disease. In the third year of treatment, colonic endometriosis was diagnosed correctly.

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“…In patients with 'deep infiltrating endometriosis of the rectum' (DIER), symptoms can be very puzzling, usually similar to irritable bowel syndrome and may sometimes even mimic colonic adenocarcinoma. Symptoms include diarrhea, constipation, tenesmus, dyschezia, rectal bleeding, change of bowel habits, and in severe cases acute intestinal obstruction or even perforation [22][23][24]. Pisanu et al [25] in 2010 reported the first case of spontaneous rectal perforation from endometriosis during pregnancy outlining that this condition could have serious and unexpected presentations even after surgical control.…”

Section: Introductionmentioning

confidence: 99%

The treatment of rectal endometriosis and the role of laparoscopic surgery

Haggag¹,

Solomayer²,

Juhasz-Böss³

2011

Current Opinion in Obstetrics &Amp; Gynecology

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Laparoscopic shaving or disc excisions for rectal endometriotic foci or rectal resections are feasible and efficient methods for treating rectal endometriosis. More complex surgery to the bowel means more risk for complications. With the rising learning curve of the operators, laparoscopic rectal resections have become a safe option that should be offered to patients. The patient's preference to a particular treatment option should be central to the type of surgery to be elected.

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Colonic Endometriosis Mimicking Colon Cancer on a Virtual Colonoscopy Study: A Potential Pitfall in Diagnosis

Cited by 5 publications

References 10 publications

Malignant degeneration of rectal endometriosis

Malignant degeneration of rectal endometriosis

Endometriosis of colon as a cause mimicking Crohn’s disease: a potential pitfall in diagnosis

The treatment of rectal endometriosis and the role of laparoscopic surgery

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