[Intestinal endometriosis: an obscure cause of cyclic rectal bleeding].
OBJECTIVE
Authors report their experience about a case of intestinal endometriosis that lead cyclic and recurrent rectal bleeding in a fertile-age woman.


METHODS
Report of 1 case with multidisciplinary approach and surgical treatment. Surgical effectiveness evaluation and 2 years follow-up. Brief review on the recent literature and the diagnostic and therapeutic implications.


METHODS
Section of General and Thoracic Surgery, Department of General Surgery, Emergency and Organ Transplantation, Policlinico "Paolo Giaccone", Palermo.


METHODS
After correct and sure diagnosis, the patient was submitted to sigmoid segmental resection with radical and curative intention.


RESULTS
Complete recovery. Follow-up (24 months) negative.


CONCLUSIONS
Diagnosis of endometriosis should be considered in women with recurrent monthly abdominal pain and bowel symptoms, especially if accompanied by gynaecologic complaints, even because the significant symptoms overlap with the irritable bowel syndrome (IBS) and makes the differentiation extremely difficult. Treatment of GI endometriosis is best approached in collaboration between gynaecologist experienced and intestinal surgeon. The high accuracy and low complications suggested that EUS-FNA was effective for the correct histologic diagnosis of intestinal endometriosis.
Sciumè
C
C
Università degli Studi di Palermo, Dipartimento di Chirurgia Generale, d'Urgenza e dei Trapianti d'Organo, Unità Operativa di Chirurgia Generale ad indirizzo Toracico. carmesci@hotmail.com
Geraci
G
G
Pisello
F
F
Li Volsi
F
F
Facella
T
T
Modica
G
G
D000714:Anastomosis, Surgical; D012809:Colon, Sigmoid / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D019160:Endosonography; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012007:Rectum / Q000601:surgery; D012189:Retrospective Studies; D012810:Sigmoid Diseases / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013997:Time Factors