A case of rectal bleeding caused by digestive endometriosis resembling colon cancer

Yılmaz, Bülent; Çukur, Selma; Sahin, Rula

doi:10.1055/s-0034-1377378

Endoscopy

2014

DOI: 10.1055/s-0034-1377378

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A case of rectal bleeding caused by digestive endometriosis resembling colon cancer

Bülent Yılmaz

Selma Çukur

Rula Sahin

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Cited by 3 publications

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“…Endoscopic ultrasonography for colonic endometriosis may reveal hypoechoic and hemispherical lesions involving the muscularis propria and serosa of the colonic wall; these findings are indistinguishable from colonic mesenchymal cell tumor such as gastrointestinal stromal tumor, which has female predominance and high-risk features, and occur most commonly in the sigmoid colon. 1,3 Therefore, colonic endometriosis should be taken into account during the evaluation of asymptomatic rectosigmoid subepithelial masses especially in premenopausal women, as in this case.…”

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confidence: 98%

“…Intestinal endometriosis can mimic a variety of infectious, inflammatory, and gastrointestinal neoplastic diseases, and may display invasive and local metastatic characteristics. 1 The infiltrative features of endometriosis implants extending outside the bowel wall can be mistaken for malignant progression. 1,2 However, these infiltrative features may not indicate an unfavorable prognosis.…”

mentioning

confidence: 99%

“…1 The infiltrative features of endometriosis implants extending outside the bowel wall can be mistaken for malignant progression. 1,2 However, these infiltrative features may not indicate an unfavorable prognosis. Malignant transformation of endometriosis is rare.…”

mentioning

confidence: 99%

“…Although computed tomography and magnetic resonance imaging are effective in identifying pelvic endometriosis, they only have a sensitivity of 66% and 67%, respectively, for bowel involvement. 1 Laparoscopy with biopsy is regarded as the gold standard for diagnosis. 1 Surgery or hormonal manipulation can be used as a treatment, according to patient age, disease severity, and associated complications.…”

mentioning

confidence: 99%

“…1 Laparoscopy with biopsy is regarded as the gold standard for diagnosis. 1 Surgery or hormonal manipulation can be used as a treatment, according to patient age, disease severity, and associated complications. Endoscopic ultrasonography for colonic endometriosis may reveal hypoechoic and hemispherical lesions involving the muscularis propria and serosa of the colonic wall; these findings are indistinguishable from colonic mesenchymal cell tumor such as gastrointestinal stromal tumor, which has female predominance and high-risk features, and occur most commonly in the sigmoid colon.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Unusual Submucosal Tumor in the Rectosigmoid Colon

Kim

Keum

Jeen

2017

Clinical Gastroenterology and Hepatology

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confidence: 98%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

See 3 more Smart Citations

Unusual Submucosal Tumor in the Rectosigmoid Colon

Kim

Keum

Jeen

2017

Clinical Gastroenterology and Hepatology

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Terminal ilial intussusception in an adult due to endometriosis

Ranaweera¹,

Gamage

Ubayawansa³

et al. 2016

BMC Res Notes

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BackgroundIntussusception is invagination of a proximal segment of bowel into the distal segment in telescopic manner. Although intussusception is common among children, intussusception secondary to terminal ileal endometriosis in an adult is a very rare encounter. We present such a case of intussusception in a Sri Lankan female.Case presentationA 43 year old Sri Lankan female presented to the surgical casualty unit with features of a subacute intestinal obstruction. Her past surgical and medical histories were unremarkable. On examination she was haemodynamically stable with distended abdomen and there was generalized tenderness. There was no guarding or rigidity. No masses were palpable. Bowel sounds were increased. Her urine was negative for Human Chorionic Gonadotrophin hormone. Full blood count revealed an increased white blood cell count with predominant number of neutrophils. Plain abdominal X-ray film showed dilated small bowel loops with empty rectum and distal colon. Patient underwent emergency exploratory laparotomy. An annular growth at terminal ileum was noted. Proximal bowel loops were distended. There was no free fluid in the abdomen. Ileo caecal tuberculosis was suspected and right hemicolectomy was performed. Uterus and bilateral ovaries appeared normal. Post surgical recovery was uneventful. The pathologist has noted endometriosis of terminal ileum contributing to the stricture formation and intussusception at the site. Following recovery patient was referred to a Gynaecologist for management of endometriosis.ConclusionThough terminal ileal endometriosis is a very rare cause of intussusception it is important to consider the possibility of it, especially when a female patient of reproductive age presents with symptoms and signs of intestinal obstruction.

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A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy on Three Colonoscopies and Biopsies Sharing a Combined Literature Review

Liang,

Mei,

Ning

et al. 2024

IJWH

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Background Endometriosis involves the intestine, and its clinical manifestations are nonspecific and lack of etiological manifestations. The diagnosis is difficult, which often leads to misdiagnosis. We report a case of endometriosis which was misdiagnosed as intestinal malignant tumor after colonoscopy and three biopsies. Case Presentation We reported a 42-year-old woman who went to see a doctor because of anal distension. She was examined by three gastrointestinal endoscopists at different levels in different hospitals and underwent biopsy at the same time. Combined with clinical manifestations, imaging examination, endoscopic examination and pathological examination, she was misdiagnosed as intestinal malignant tumor, and partial intestinal resection was performed according to the surgical principle of malignant tumor. Conclusion Although there are advanced gastrointestinal endoscopy and imaging techniques, intestinal endometriosis is still easy to be misdiagnosed. As our case report shows, after three colonoscopy and biopsy, it is still misdiagnosed as intestinal malignant tumor. Further research is needed to improve the ability of preoperative diagnosis, which deserves the attention of gastroenterologists and obstetricians and gynecologists.

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A case of rectal bleeding caused by digestive endometriosis resembling colon cancer

Cited by 3 publications

References 3 publications

Unusual Submucosal Tumor in the Rectosigmoid Colon

Unusual Submucosal Tumor in the Rectosigmoid Colon

Terminal ilial intussusception in an adult due to endometriosis

A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy on Three Colonoscopies and Biopsies Sharing a Combined Literature Review

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