[About the endometriosis and its intestinal localization, an observatio in one case].
A clinical case of endometriosis of the distal part of the sigmoid colon in a 57 year-old woman is shown, with a clinical presentation of incomplete bowel obstruction. The patient underwent a total hysterectomy and bilateral salpingo-oophorectomy for the chocolate cysts of the left ovary 16 years ago. The condition was estimated as a carcinoma of the sigmoid colon, on the basis of the contrast enema studies and clinical presentation, despite of the endoscopic changes. A basic for that assumption was the progressing bowel obstruction (3 months), and the long interval from the gynecological operation--16 years, as well as her surgically induced menopause with the same duration. The diagnosis was confirmed with a biopsy. A survey of the available literature concerning the case was made, discussing the nature of the condition, its clinical presentations, the diagnostic possibilities and its treatment management.
Nedin
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D012809:Colon, Sigmoid / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008593:Menopause / Q000502:physiology; D008875:Middle Aged