Extragenital Endometriosis In Recto-Sigmoid Colon: Report Of A Case

Öz

Although endometriosis is a common disease in women of childbearing age, intestinal endometriosis is unusual and may cause clinically significant complications.We report a 37-year-old woman who presented with pelvic mass. She was operated on with a intraoperative diagnosis of colon malignancy. The diagnosis of rectosigmoid endometriosis was made only after histological examination of the resected specimen. Intestinal endometriosis has a diverse clinical spectrum, with nonspecific features in many patients. In female patients who have pelvic mass, intestinal endometriosis should also be considered in the differential diagnosis.

Anahtar Kelimeler

• Pelvic mass,sigmoid colon,endometriosis

Rekto-Sigmoid Kolonda Ekstragenital Endometriozis: Olgu Sunumu

Öz

Endometriozis, doğurganlık çağındaki kadınlarda sık görülen bir hastalık olmakla birlikte, intestinal endometriozis oldukça nadir görülen ve önemli klinik sorunlara yol açabilen bir hastalıktır. Bu sunumda, pelvik kitle nedeniyle opere edilen operasyon sırasında kolon kanseri düşünülmekle birlikte postoperatif histopatolojik tanısı rekto-sigmoidal endometriosis olduğu saptanan 37 yaşında kadın hasta tartışılmıştır. İntestinal endometriozis bir çok hastada spesifik olmayan bulgu ve semptomlara neden olmaktadır. Pelvik kitle ile başvuran kadın hastaların ayırıcı tanısında intestinal endometriozis olabileceği de akılda tutulmalıdır.

Anahtar Kelimeler

• Pelvik kitle,sigmoid kolon,endometriozis

Kaynakça

1. Nezhat F, Shamshirsaz A, Yildirim G. Pelvic Pain, Endometriosis, and the Role of the Gynecologist. In: Altcheck A & Deligdisch L eds. Pediatric, Adolescent and Young Adult Gynecology. 1st ed. New Jersey: Wiley-Bla- ckwell, 2009: 174-194.
2. Kurman RJ, Ellenson LH, Ronnett BM eds: Diseases of the peritoneum. In: Blaustein’s Pathology of The Female Genital Tract. 6thed. Sprin- ger-Verlag; New York, 2011, 654-656.
3. Yalın Kılıc ZM, Ozin Y, Kacar S et al. Intestinal endometriosis: A rare pre- sentation of endometriosis . Akademik Gastroenteroloji Dergisi. 2008; 7: 114-117.
4. Rehman J, Yildirim G, Khan SA, Chughtai B, Nezhat F. A case of succes- sful laparoscopic resection of adrenal gland endometriosis. Fertil Steril. 2008 ; 90: 2015.
5. Bartkowiak R, Zieniewicz K, Kaminski P, Krawczyk M, Marianowski L, Szymanska K. Diagnosis and treatment of sigmoidal endometriosis: A case report. Med Sci Monit 2000;6:787-90.
6. Hesla JS, Rock JA. Endometriosis. In:Rock JA, Thompson JD (eds.). Te Linde’s Operative Gynecology. Philadelphia: Lippincott-Raven Publis- hers; 1997:585-624.
7. Rock J, Markham SM. Pathogenesis of endometriosis. Lancet 1995: 340: 1264-7.
8. Jenkins S, Olive DL, Haney AF. et al. Endometriosis: pathogenetic impli- cations of the anatomic distribution. Obsted Gynecol. 1986;67:335-38.

9. Yantis RK, Clement PB, Young RH. et al. Neoplastic and pre-neoplastic changes in gastrointestinal endometriosis: a study of 17 cases. Am J Surg Pathol. 2000; 24: 513-24.
10. Yoshida M, Watanabe Y, Horiuchi A, Yamamoto Y, Sugishita H, Kawachi K. Sigmoid colon endometriosis treated with laparoscopy-assisted sig- moidectomy: Significance of preoperative diagnosis. World J Gastroen- terol 2007; 13: 5400-2.
11. Bergqvist A. Extragenital endometriosis: a review. Eur J Surg 1992; 158: 7-12.
12. Bromberg SH, Waisberg J, Franco MIF, et al. Surgical treatment for colo- rectal endometriosis. Int Surg 1999; 84: 234-8.
13. Meyer WC, Kelvin FM, Jones RC. Diagnosis and surgical treatment of colonic endometriosis. Arch Surg 1979; 114: 169-72.
14. Martin DC, Vander Zwagg R. Excisional techniques for endometriosis with the CO2 laser laparoscope. J Reprod Med 1987;32:753-8.
15. Verspyck E, Lefranc JP, Guyard B, et al. Treatment of bowel endometrio- sis: a report of six cases of colorectal endometriosis and a survey of the literature. Eur J Obstet Gynecol Reprod Biols 1997;71:81-4.