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CT colonoscopy for obstructive sigmoid endometriosis: a new technique for an old problem
N Tzambouras1, K H. Katsanos, A Tsili
1Department of Internal Medicine and Hepato-Gastroenterology, Medical School of Ioannina, Leoforos Panepistimiou, 451 10, Ioannina, Greece
European Journal of Internal Medicine
|June 18, 2002
Summary
Sigmoid colon endometriosis, a rare condition, can cause severe bowel obstruction. Advanced imaging like CT virtual colonoscopy aids in diagnosing this condition, offering a feasible and well-tolerated approach.
Area of Science:
- Gastroenterology
- Gynecology
- Radiology
Background:
- Endometriosis of the sigmoid colon is infrequently reported.
- It can present with symptoms like abdominal pain, constipation, and rectal bleeding.
Purpose of the Study:
- To report a case of sigmoid colon endometriosis.
- To highlight the diagnostic utility of non-invasive imaging techniques.
Main Methods:
- A 29-year-old woman with relevant symptoms underwent CT virtual colonoscopy.
- Sigmoidoscopy with biopsies was performed for definitive diagnosis.
Main Results:
- CT virtual colonoscopy revealed severe stenosis of the orthosigmoid canal due to a submucosal mass.
- Biopsies confirmed endometriosis as the cause.
Conclusions:
- Non-invasive techniques, particularly CT virtual colonoscopy, are effective for diagnosing sigmoid endometriosis.
- CT virtual colonoscopy is feasible and well-tolerated for this condition.