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[Intestinal endometriosis]
H Higgs1, F Noronha, J L Ramos Dias
1Servico de Cirurgia, Hospital Pulido Valente, Lisboa.
Acta Medica Portuguesa
|November 1, 1995
Summary
Intestinal endometriosis, affecting up to 34% of women with pelvic endometriosis, can cause obstructive symptoms and rectal bleeding when it deeply invades the intestinal wall, including the mucosa.
Area of Science:
- Gynecology
- Gastroenterology
- Pathology
Background:
- Pelvic endometriosis affects 5-10% of menstruating women.
- Intestinal involvement occurs in 3-34% of these cases, typically limited to the serosa.
Observation:
- A case of intestinal endometriosis with deep muscular and mucosal invasion is presented.
- This rare presentation caused obstructive symptoms and cyclic rectal bleeding.
Findings:
- Histological confirmation of deep intestinal wall invasion, including the mucosa, was obtained.
- The patient experienced obstructive symptoms and rectal bleeding, an uncommon manifestation.
Implications:
- This case highlights diagnostic challenges in intestinal endometriosis.
- It underscores the need to consider deeper invasion and associated symptoms in management.
- Further research into therapeutic strategies for extensive intestinal endometriosis is warranted.