Isolated endometriosis causing sigmoid colon obstruction: A case report.
Nigel A Bascombe1, Vijay Naraynsingh, Dilip Dan
1University of the West Indies, St. Augustine, Trinidad and Tobago.
International Journal of Surgery Case Reports
|November 19, 2013
Summary
Isolated intestinal endometriosis causing large bowel obstruction is rare. Diagnosis requires high suspicion in women of childbearing age presenting with obstruction, even without prior symptoms.
Area of Science:
- Gastroenterology
- Gynecologic Pathology
Background:
- Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
- Isolated intestinal endometriosis causing large bowel obstruction is an uncommon presentation.
Purpose of the Study:
- To report a rare case of large bowel obstruction caused by isolated sigmoid colon endometriosis.
- To emphasize the importance of considering endometriosis in the differential diagnosis of bowel obstruction in women of childbearing age.
Main Methods:
- Case presentation of a woman of childbearing age with acute large bowel obstruction.
- Surgical intervention and subsequent histopathological examination for diagnosis.
Main Results:
- The patient presented with symptoms of large bowel obstruction requiring urgent surgery.
- Histopathological analysis confirmed endometriosis confined to the sigmoid colon.
Conclusions:
- This case highlights a rare instance of endometriosis exclusively involving the sigmoid colon without pelvic endometriosis.
- The diagnosis of endometriosis should be considered in women of childbearing age presenting with large bowel obstruction, irrespective of other symptoms or known disease.
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