Rare manifestation of endometriosis causing complete recto-sigmoid obstruction: A case report

Abstract

HighlightsEndometriosis can cause complete bowel obstruction.Must be considered in the diagnosis of bowel obstruction.It can present with un typical symptoms of endometriosis.Surgical resection is the choice in case of complete obstruction.In case of bowel endometriosis Uterus and ovaries should be inspected.

A case of endometriosis causing acute large bowel obstruction

“…Surgical resection is required as definitive treatment of colonic obstruction. Post operatively, recurrence rate is directly related to the completeness of resection [ 14 ]. In our case, endoscopic decompression was unsuccessful due to the severity of stenosis and obstruction of the colonic lumen; thus an emergency operation and resection was performed.…”

Intestinal obstruction caused by endometriosis: Endoscopic stenting and expedited laparoscopic resection avoiding stoma. A case report and review of the literature

“…In the literature some cases of acute colonic obstruction due to endometriosis are described. Hartmann’s procedure or direct anastomosis with defunctioning stoma were performed, either open or laparoscopic [ [15] , [16] , [17] , [18] ].…”

A case report: Rectal endometriosis mimicking rectal cancer

“…The incidence rate of gastrointestinal endometriosis is 3%–37% of all cases, and rectum and sigmoid colon are the most common sites of it, accounting for 50%–70%. Patients with gastrointestinal endometriosis may present with symptoms such as colic pain, nausea, vomiting, constipation, diarrhea, rectal bleeding, tenesmus, pain during defecation and so on [ 2 , [4] , [5] , [6] , 10 , [12] , [13] , [14] ]. The incidence rate of abdominal scar endometriosis is 0.03%–12%.…”

“…Endometriosis is a chronic and benign gynecologic disease, with endometrial glands and stroma presenting outside the uterine cavity [ 1 , 2 ]. Endometriosis affects approximately 3%–15% of childbearing age women [ 1 , 3 , 4 ].…”