· Makale Gönderme · Makale Değerlendirme
2013, Cilt 4, Sayı 3, Sayfa(lar) 157-160
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Endometriosis of The Sigmoid Colon Mimicking Colon Cancer
Merter Gülen1, Sezai Leventoğlu6, B. Bülent Menteş1, Fatma Tokat5, Beyhan Demirhan2, F. Bahattin Duru3, Mehmet Yörübulut4
1Acıbadem Ankara Hospital, General Surgery Clinic, Ankara, Turkey
2Acıbadem Ankara Hospital, Department of Pathology, Ankara, Turkey
3Acıbadem Ankara Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey
4Acıbadem Ankara Hospital, Department of Radiology, Ankara, Turkey
5Acıbadem Maslak, Department of Pathology, Istanbul, Turkey
6Gazi University School of Medicine, Department of General Surgery, Ankara, Turkey
Keywords: endometriosis, colon carcinoma, bowel obstruction
Endometriosis is one of the most common benign gynecological disorders in women of reproductive age. Intestinal involvement occurs in 3 to 37 percent of patients with pelvic endometriosis, usually affecting the rectosigmoid colon. Sometimes, the differential diagnosis of colorectal endometriosis from carcinoma of the colon and rectum is difficult due to similar colonoscopic and radiologic findings. We report a case of a 45-year-old woman presenting with intraabdominal mass and symptoms of bowel obstruction due to colonic endometriosis. An uneventful anterior resection of the sigmoid colon was performed. Histopathological examination of the resected colon revealed colonic endometriosis. This case demonstrates the difficulty of establishing an accurate pre-operative diagnosis and the ability of intestinal endometriosis to mimic colon cancer.
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