Endoscopic Appearance and Mx of Recto-Sigmoid Endometriosis
The present case, published in the journal Gastroenterology Research shows the endoscopic views of bowel endometriosis and also elaborates on how to approach and manage similar cases of bowel endometriosis. Patients with bowel endometriosis are better managed and treated with a multidisciplinary team including gastroenterologist, gynecologist and colorectal surgeon.The present case has been reported

A 39-year-old woman with past medical history of endometriosis of the umbilicus which was treated with surgery. She presented to the hospital with complaints of deep pelvic pain, dyspareunia, dysmenorrheal pain, cyclical hematochezia and dyschezia for months prior to admission. Patient had suspected pelvic endometriosis and she was started on hormonal therapy and intrauterine contraceptive device without significant improvement.

The patient underwent diagnostic and therapeutic laparoscopy. She was found to have endometriosis like lesions in the cul-de-sac which were removed and sent to histopathology which confirmed presence of endometriosis. The patient also underwent laparoscopic hysterectomy with left-sided oophorectomy and was found to have a mass involving the anterior wall of the recto-sigmoid colon on laparoscopy.

She underwent diagnostic colonoscopy which revealed the presence of an infiltrative partially obstructing large mass in the recto-sigmoid colon. The mass involved half of the lumen circumference, measured 5 cm in length and was located 15 - 20 cm from the anus. The mass was friable. Biopsies were taken with cold forceps for histology and revealed normal colonic mucosa with features suggestive of a hyperplastic polyp. The remainder of the colon was normal to the terminal ileum.

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