Colonic Endometriosis: Dig Deeper for Diagnosis.

Area of Science:

• Gynecology
• Gastroenterology
• Surgical Pathology

Background:

• Endometriosis involves ectopic endometrial tissue, commonly diagnosed via laparoscopy.
• Early diagnosis of colonic endometriosis remains a clinical challenge.
• Cyclical rectal bleeding can be an indicator of colonic endometriosis.

Observation:

• A case report of a reproductive-age woman presenting with cyclical rectal bleeding.
• Diagnosis of colonic endometriosis was achieved through colonoscopy and biopsy.
• A saline injection lift and sampling technique was employed for tissue acquisition.

Findings:

• The case demonstrates the successful diagnosis of colonic endometriosis using a specific colonoscopic technique.
• Deeper tissue sampling techniques can improve diagnostic yield for colonic endometriosis.
• This approach aids in identifying endometriosis in the colon.

Implications:

• Early diagnosis of colonic endometriosis can lead to timely treatment initiation.
• Improved diagnostic strategies may prevent disease complications and reduce unnecessary surgeries.
• This technique offers a valuable tool for diagnosing colonic endometriosis in women of childbearing age.