Endometriosis with Intestinal Implants Mimicking Rectal Cancer.


M Ameli 1 , * , F Zamani 1 , F Fallahian 2 , A Zare Mehrjardi 3

1 Assistant Professor- Gastroenterintestinal and Liver Disease Research Centre, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran,

2 Internist, Baqiyatallah Re-search Centre For Gastroenterology and Liver Disease, Tehran, Iran,

3 Associate Professor, Department of Pathology, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

How to Cite: Ameli M, Zamani F, Fallahian F, Zare Mehrjardi A. Endometriosis with Intestinal Implants Mimicking Rectal Cancer., Shiraz E-Med J. Online ahead of Print ; 10(2):84-9.


Shiraz E-Medical Journal: 10 (2); 84-9
Published Online: April 1, 2009
Article Type: Research Article
Received: January 2, 2009
Accepted: March 14, 2009


Abstract: The case presented involves a thirty-eight year old woman with endometriosis, who was diagnosed by laparoscopic visualization and histopathological confirmation. After one year, and while the patient was on infertility work-up, she referred to a gastroenterologist from the gynecologic clinic because of palpable bulging and nodules discovered in a pelvic exam. Colonic involvement was detected by colonoscopy and endosonography. A pathology report of sections of the colonic mucosa revealed deciduosis (endometriosis). This incidence of this type of endometriosis is quite rare, and involves extensive involvement of colonic mucosa. We recommend careful pelvic examination and rectovaginal palpation in endometriosis pa-tients even if they appear asymptomatic for gastrointestinal complications.

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