Rectal obstruction due to endometriosis: A case report and review of the Japanese literature

Hiromi Ono, Shohei Honda, Yasushi Danjo, Kenji Nakamura, Mihiro Okabe, Takashi Kimura, Masato Kawakami, Kimimoto Nagashima, Hiroshi Nishihara

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

INTRODUCTION Colorectal obstructive endometriosis is relatively rare in Japan and its differentiation from malignancy is often difficult. We report a case of rectal obstructive endometriosis. PRESENTATION OF CASE A 37-year-old woman was referred to our hospital with a suspected ileus. Her chief symptoms were left lower abdominal pain and vomiting. Colonoscopy showed an intraluminal mass of redness in the upper rectum. A proctectomy was performed because of the bowel obstruction. The rectum was filled with an intraluminal mass measuring 5 cm × 4 cm, and endometriosis was diagnosed pathologically. DISCUSSION A preoperative diagnosis of colorectal obstructive endometriosis is often difficult because of the lack of definite diagnostic, clinical, sonographic, or radiological findings that are characteristic of this disease. Medical treatment is not always effective for colorectal obstructive endometriosis, and surgery is often performed. CONCLUSION Colorectal obstructive endometriosis should be considered as a differential diagnosis in cases of various gastrointestinal symptoms in women who are of reproductive age.

Original languageEnglish
Pages (from-to)845-848
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume5
Issue number11
DOIs
Publication statusPublished - 2014 Jan 1
Externally publishedYes

Fingerprint

Endometriosis
Rectum
Ileus
Colonoscopy
Abdominal Pain
Vomiting
Japan
Differential Diagnosis
Neoplasms

Keywords

  • Hormonal therapy
  • Rectal endometriosis
  • Rectal obstruction
  • Surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Rectal obstruction due to endometriosis : A case report and review of the Japanese literature. / Ono, Hiromi; Honda, Shohei; Danjo, Yasushi; Nakamura, Kenji; Okabe, Mihiro; Kimura, Takashi; Kawakami, Masato; Nagashima, Kimimoto; Nishihara, Hiroshi.

In: International Journal of Surgery Case Reports, Vol. 5, No. 11, 01.01.2014, p. 845-848.

Research output: Contribution to journalArticle

Ono, Hiromi ; Honda, Shohei ; Danjo, Yasushi ; Nakamura, Kenji ; Okabe, Mihiro ; Kimura, Takashi ; Kawakami, Masato ; Nagashima, Kimimoto ; Nishihara, Hiroshi. / Rectal obstruction due to endometriosis : A case report and review of the Japanese literature. In: International Journal of Surgery Case Reports. 2014 ; Vol. 5, No. 11. pp. 845-848.
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AB - INTRODUCTION Colorectal obstructive endometriosis is relatively rare in Japan and its differentiation from malignancy is often difficult. We report a case of rectal obstructive endometriosis. PRESENTATION OF CASE A 37-year-old woman was referred to our hospital with a suspected ileus. Her chief symptoms were left lower abdominal pain and vomiting. Colonoscopy showed an intraluminal mass of redness in the upper rectum. A proctectomy was performed because of the bowel obstruction. The rectum was filled with an intraluminal mass measuring 5 cm × 4 cm, and endometriosis was diagnosed pathologically. DISCUSSION A preoperative diagnosis of colorectal obstructive endometriosis is often difficult because of the lack of definite diagnostic, clinical, sonographic, or radiological findings that are characteristic of this disease. Medical treatment is not always effective for colorectal obstructive endometriosis, and surgery is often performed. CONCLUSION Colorectal obstructive endometriosis should be considered as a differential diagnosis in cases of various gastrointestinal symptoms in women who are of reproductive age.

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