Rectosigmoid endometriosis: Diagnostic pitfalls and management - A case report
Athanasios Piachas1, Panagiotis Smyrnis1, Andreas Tooulias1
1Department of Surgery Papageorgiou General Hospital Aristotle University of Thessaloniki Thessaloniki Greece.
Clinical Case Reports
|April 4, 2022
Summary
Endometriosis affects 10%-12% of women, with bowel involvement in up to 12%. This case highlights rectosigmoid endometriosis, a common site for this benign condition in women.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Pathology
Background:
- Endometriosis is a common benign condition affecting 10%-12% of menstruating women.
- Gastrointestinal involvement occurs in 5%-12% of endometriosis cases.
- The rectosigmoid region is the most frequent site of bowel endometriosis, seen in up to 90% of affected individuals.
Observation:
- A 45-year-old Caucasian female presented with symptoms suggestive of rectosigmoid endometriosis.
- Clinical examination and diagnostic workup confirmed the presence of endometriosis in the rectosigmoid colon.
Findings:
- The case details the diagnostic process and confirmation of rectosigmoid endometriosis.
- Histopathological findings confirmed the presence of endometrial tissue in the rectosigmoid region.
Implications:
- This case underscores the importance of considering endometriosis in the differential diagnosis of rectosigmoid pathology.
- Accurate diagnosis and management are crucial for improving patient outcomes and quality of life.
- Further research into the pathogenesis and optimal treatment strategies for gastrointestinal endometriosis is warranted.
