Sigmoid endometriosis in a postmenopausal woman.
Bowel obstruction resulting from endometriosis is an infrequently observed phenomenon in postmenopausal women. A 69-year-old woman without hormone replacement had clinical and radiologic findings consistent with a pelvic tumor invasive into the wall of the sigmoid colon. The patient underwent resection of the sigmoid colon and total hysterectomy. Histologic examination revealed endometrioma. This case documents the possible occurrence of symptomatic bowel endometriosis after years of a hormonally castrated state.
Deval
Bruno
B
Department of Gynecology, Hôpital Beaujon, Clichy, France.
Rafii
Arash
A
Felce Dachez
Michele
M
Kermanash
Reza
R
Levardon
Michel
M
D000368:Aged; D003125:Colostomy; D003248:Constipation; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008279:Magnetic Resonance Imaging; D017699:Pelvic Pain; D017698:Postmenopause; D012810:Sigmoid Diseases / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D019522:Vaginal Discharge; D015431:Weight Loss