Abstract
BackgroundAlthough gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare.Case presentationWe present a case of a 41-year-old white woman with cyclic rectal bleeding. Magnetic resonance imaging was done, together with colonoscopy and histologic staining of biopsied samples, which led to the final diagnosis of intestinal invasive endometriosis with recto-sigmoid stricture. Our patient was treated symptomatically with stool softeners.ConclusionThis case provides a rare example of catamenial bleeding. It is important to keep invasive endometriosis on the differential diagnosis whenever a premenopausal woman has cyclical rectal bleeding.
Highlights
Endometriosis is defined as the presence of functional endometrial glands and stroma outside the uterine cavity [1]
In this report we present a case of a middle-aged woman with rectal endometriosis after having undergone a total hysterectomy with bilateral salpingectomy and left oophorectomy 1 year prior
After deciding for the non-surgical approach, our patient never complained about the same symptoms again, Fig. 2 Transverse T2-weighted magnetic resonance imaging section of pelvis with recto-sigmoid colon endometriosis
Summary
Endometriosis is defined as the presence of functional endometrial glands and stroma outside the uterine cavity [1]. In this report we present a case of a middle-aged woman with rectal endometriosis after having undergone a total hysterectomy with bilateral salpingectomy and left oophorectomy 1 year prior. * Correspondence: Keith.Joshua@mayo.edu 1Department of Family Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, Florida 32224, USA Full list of author information is available at the end of the article Case presentation A 41-year-old white woman with a past medical history of endometriosis presented to our clinic for her annual examination.
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