title: Endometriosis after surgical menopause mimicking pelvic malignancy: surgeons' predicament.
abstract: Prevalence of persistent endometriosis in women after menopause without any hormonal replacement therapy is very rare. This is a case of a woman with previous history of total hysterectomy and bilateral salpingo-oophorectomy for endometriosis who presented with hemoperitoneum, vaginal bleeding, pelvic mass, and pulmonary thromboembolism mimicking as rectovaginal septum carcinoma. This is the first case report with a unique mode of presentation wherein the patient presented with hemoperitoneum requiring emergency embolization of the vessel to stabilize the patient. She underwent en bloc resection of the tumor with high anterior resection of the rectum. Histopathology confirmed endometriosis.
authors.affiliation: Consultant Gynaecological Oncologist HCG Oncology No. 8, P Kalinga Rao Road Sampangi Ramnagar Bangalore - 560027. India.
authors.forename: Rani A
authors.initials: RA
authors.lastname: Bhat
authors.affiliation: Senior Consultant, Department of Surgical Oncology, National Cancer Centre Singapore, Singapore.
authors.forename: Melissa
authors.initials: M
authors.lastname: Teo
authors.affiliation: Senior Consultant-General Surgery, St. Philomena's Hospital, No. 4 Cambell Road, Viveknagar, Bangalore-560047, India.
authors.forename: Akhil Krishnanand
authors.initials: AK
authors.lastname: Bhat
keywords: Endometriosis; Menopause; Ovarian cancer