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Endometriosis causing colon obstruction in two postmenopausal women
J G Petros1, N Spirito, R Gosshein
1Department of Surgery, St. Elizabeth's Hospital of Boston, MA 02135.
The Mount Sinai Journal of Medicine, New York
|September 1, 1992
Summary
Colonic endometriosis, a rare condition, can cause bowel obstruction in postmenopausal women. Increased use of estrogen-replacement therapy may lead to more cases in this demographic.
Area of Science:
- Gastroenterology
- Gynecology
- Pathology
Background:
- Colonic endometriosis is typically diagnosed in premenopausal women.
- Estrogen-replacement therapy (ERT) is increasingly used in aging populations.
Observation:
- Two postmenopausal women presented with colonic obstruction.
- One patient was undergoing long-term ERT.
Findings:
- The cases highlight colonic endometriosis as a cause of obstruction in postmenopausal women.
- Endometriosis can manifest in the colon, even after menopause.
Implications:
- Colonic endometriosis may increase in prevalence among aging women using ERT.
- Clinicians should consider endometriosis in postmenopausal women with unexplained colonic obstruction.