Postmenopausal intestinal obstructive endometriosis: case report and review of the literature

São Paulo Medical Journal = Revista Paulista De Medicina
Pedro PopoutchiJosé Joaquim Ribeiro da Rocha

Abstract

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. 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 ...Continue Reading

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Citations

Jun 27, 2013·World Journal of Gastroenterology : WJG·Yu-Ling TongShen-Yi Zhu
Jul 1, 2011·Journal of Mid-life Health·Rama Vaidya, Rashmi Shah
Sep 8, 2015·Women's Health·Umit Inceboz
May 23, 2012·Maturitas·Charlotte L Bendon, Christian M Becker
Apr 29, 2015·Asian Journal of Endoscopic Surgery·Kunihiko IzuishiKazuo Ebara
Mar 19, 2013·American Journal of Obstetrics and Gynecology·Ivo BrosensGiuseppe Benagiano
Apr 4, 2018·Climacteric : the Journal of the International Menopause Society·D A Tan, M J G Almaria
Jul 6, 2019·Current Opinion in Obstetrics & Gynecology·Camille LadanyiShanti Mohling
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Apr 22, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mohamed MabroukRenato Seracchioli

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