Intestinal Obstruction Due to Rectal Endometriosis: A Surgical Enigma

Jarmin, Razman; Idris, Mohamad Azim Md; Shaharuddin, Shaharin; Sukumar, Nadeson; Rashid, Lukman Mohd; Mustaffa, Wan Muhaizan Wan

doi:10.1016/s1015-9584(09)60075-0

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…Especially when the patient presents with intestinal obstruction or severe endometriosis, the only treatment is surgical excision due to myocyte proliferation and fibrosis of the endometriotic tissue in the intestinal muscular layer. 7 For the treatment of intestinal endometriosis, total anterior resection is feasible for single infiltrating nodules, approximately 30 mm in size and less than one-third of the intestinal circumference, whereas more extensive infiltrating lesions require formal excision and anastomosis. The most common treatment for endometriosis in the rectosigmoid colon is currently partial resection.…”

Section: Discussionmentioning

confidence: 99%

“… 5 Rectal endometriosis, first reported by Dr. Sampson in 1922, 6 is a deep infiltrating endometriosis that invades the colorectum and can cause lower gastrointestinal symptoms such as diarrhea, blood in the stool, and periodic abdominal pain, which can seriously affect the quality of life of women of childbearing age. Also due to its infiltrative nature and tendency to produce strictures leading to obstruction, the clinical presentation of intestinal endometriosis is often misdiagnosed as malignancy, especially during surgery, and its appearance may also be indistinguishable from malignancy, 7 which may lead to misdiagnosis. In this paper, we report a case of intestinal endometriosis that was misdiagnosed as intestinal malignancy on three colonoscopies and tissue biopsies.…”

Section: Introductionmentioning

confidence: 99%

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A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy on Three Colonoscopies and Biopsies Sharing a Combined Literature Review

Liang,

Mei,

Ning

et al. 2024

IJWH

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Background Endometriosis involves the intestine, and its clinical manifestations are nonspecific and lack of etiological manifestations. The diagnosis is difficult, which often leads to misdiagnosis. We report a case of endometriosis which was misdiagnosed as intestinal malignant tumor after colonoscopy and three biopsies. Case Presentation We reported a 42-year-old woman who went to see a doctor because of anal distension. She was examined by three gastrointestinal endoscopists at different levels in different hospitals and underwent biopsy at the same time. Combined with clinical manifestations, imaging examination, endoscopic examination and pathological examination, she was misdiagnosed as intestinal malignant tumor, and partial intestinal resection was performed according to the surgical principle of malignant tumor. Conclusion Although there are advanced gastrointestinal endoscopy and imaging techniques, intestinal endometriosis is still easy to be misdiagnosed. As our case report shows, after three colonoscopy and biopsy, it is still misdiagnosed as intestinal malignant tumor. Further research is needed to improve the ability of preoperative diagnosis, which deserves the attention of gastroenterologists and obstetricians and gynecologists.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy on Three Colonoscopies and Biopsies Sharing a Combined Literature Review

Liang,

Mei,

Ning

et al. 2024

IJWH

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“… 1 However, the vast majority of these patients reported are known cases of endometriosis, having complaints of pelvic pain, dyspareunia and/or dysmenorrhea. 1–5 Many of them also have a history of infertility, for which they were subjected to investigation, such as laparoscopy, hence, presenting with a previous diagnosis of endometriosis.…”

Section: Discussionmentioning

confidence: 99%

Isolated endometriosis causing sigmoid colon obstruction: A case report

Bascombe

Naraynsingh

Dan

et al. 2013

International Journal of Surgery Case Reports

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INTRODUCTIONIsolated endometriosis of the intestine causing large bowel obstruction is rare.PRESENTATION OF CASEWe present a case of endometriosis presenting as large bowel obstruction in a woman of childbearing age. She had no previous symptoms to suggest endometriosis and on presentation urgent surgery was required. The diagnosis of endometriosis was made only after pathological evaluation of the specimen.DISCUSSIONNo cases of endometriosis confined to this sigmoid colon without pelvic involvement were noted in the literature.CONCLUSIONThe diagnosis of endometriosis should be entertained when women of childbearing age presents with large bowel obstruction, whether or not the patient has other evidence of the disease.

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“…2023; 3 (7): 1160. ported by Dr. Sampson in 1922 [6], is a deep infiltrating endometriosis that invades the colorectum and can cause lower gastrointestinal symptoms such as diarrhea, blood in the stool, and periodic abdominal pain, which can seriously affect the quality of life of women of childbearing age. Also due to its infiltrative nature and tendency to produce strictures leading to obstruction, the clinical presentation of intestinal endometriosis is often misdiagnosed as malignancy, especially during surgery, and its appearance may also be indistinguishable from malignancy [7], which may lead to misdiagnosis. In this paper, we report a case of intestinal endometriosis that was misdiagnosed as intestinal malignancy on three colonoscopies and tissue biopsies.…”

Section: Introductionmentioning

confidence: 99%