A case of sigmoid endometriosis difficult to differentiate from colon cancer

BMC Gastroenterology

Elias A Kouroumalis³  Ioannis M Matalliotakis¹  Pavlos Antoniou³  Maria Tzardi²  Ioannis E Koutroubakis³  Philippos Dimoulios³ 

[1] Department of Obstetrics and Gynecology, University Hospital Heraklion, Crete, Greece;Department of Pathology, University Hospital Heraklion, Crete, Greece;Department of Gastroenterology, University Hospital Heraklion, Crete, Greece

关键词: intestinal bleeding.;    endometriosis;    colon cancer;   

Others  :  1215884
DOI  :  10.1186/1471-230X-3-18

 received in 2003-05-15, accepted in 2003-08-07,  发布年份 2003

【 摘 要 】

Background

Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal involvement is rare and differential diagnosis from colon cancer may be difficult due to the lack of pathognomonic symptoms and the poor diagnostic yield of colonoscopy and colonic biopsies.

Case presentation

We present a case of a young woman with sigmoid endometriosis, in which the initial diagnostic workup suggested colon cancer. Histologic evidence, obtained from a second colonoscopy, along with pelvic ultrasound findings led to the final diagnosis of intestinal endometriosis which was confirmed by laparoscopy.

Conclusion

Colonic endometriosis is often a diagnostic challenge and should be considered in young women with symptoms from the lower gastrointestinal tract.

【 授权许可】

   
2003 Dimoulios et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

【 图 表 】

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