Diverticulum-associated colon mass due to Mu ̈llerian cyst: Detection by barium enema but not colonoscopy

Abstract

Gynecologic disease may present with GI symptoms or lesions. Intestinal obstruction due to advanced ovarian cancer and intestinal involvement by endometriosis have been well-documented. 1 Clarke-Pearson DL DeLong ER Chin N Rice R Creasman W. Intestinal obstruction in patients with ovarian cancer. Arch Surg. 1988; 123: 42-45 Crossref PubMed Scopus (35) Google Scholar , 2 Taal B Steinmetz R Den-Hartog-Jager F. Rectosigmoid obstruction caused by ovarian cancer. Clin Radiol. 1990; 41: 170-174 Abstract Full Text PDF PubMed Scopus (4) Google Scholar , 3 Krebs HB Goplerud DR. Mechanical intestinal obstruction in patients with gynecological disease: a review of 368 patients. Am J Obstet Gynecol. 1987; 157: 577-583 Abstract Full Text PDF PubMed Scopus (60) Google Scholar , 4 Bozdech JM. Endoscopic diagnosis of colonic endometriosis. Gastrointest Endoscopy. 1992; 38: 568-570 Abstract Full Text PDF PubMed Scopus (43) Google Scholar , 5 Shah M Tager D Feller E. Intestinal endometriosis masquerading as common digestive disorders. Arch Intern Med. 1995; 155: 977-980 Crossref PubMed Scopus (37) Google Scholar , 6 Willis TJ Pratt JH. Endometriosis in 1000 consecutive celiotomies: Incidence and management. Am J Obstet Gynecol. 1977; 129: 245-250 PubMed Google Scholar , 7 Weed JC Ray JE. Endometriosis of the bowel. Obstet Gynecol. 1987; 69: 727-730 PubMed Google Scholar , 8 Farinon AM Vadora E. Endometriosis of the colon and rectum: an indication for peroperative colonoscopy. Endoscopy. 1980; 12: 136-139 Crossref PubMed Scopus (17) Google Scholar , 9 Gordon RL Evers K Kressel HY Laufer I Herlinger H Thompson JJ. Double-contrast enema in pelvic endometriosis. AJR Am J Roentgenol. 1982; 138: 549-552 Crossref PubMed Scopus (42) Google Scholar Intestinal lesions or symptoms due to other benign gynecologic conditions are rare, but extrinsic mass effect from an enlarged uterus or ovary is sometimes seen in the colon. 10 Blackstone MO. Diverticular disease/sigmoid narrowing. in: Endoscopic Interpretation. : Raven Press, New York1984: 510-516 Google Scholar , 11 Wilcox CM. Colon. in: Atlas of clinical gastrointestinal endoscopy. : WB Saunders, Philadelphia1995: 207-276 Google Scholar , 12 Silverstein FE Tytgat GN. Colon II: diverticular disease, vascular malformations, and other colonic abnormalities. in: Atlas of gastrointestinal endoscopy. 2nd ed. : JB Lippincott, Philadelphia1991: 12.1-1217 Google Scholar Paratubal or Müllerian cysts of the fallopian tubes are thought to be derived from remnants of the embryologic Müllerian ducts. 13 Cotran RS Kumar V Tucker C. Fallopian tubes. in: Robbins pathological basis of disease. 6th ed. : WB Saunders, Philadelphia1999: 1065 Google Scholar , 14 Samaha M Woodruff JD. Paratubal cysts: frequency, histogenesis, and associated clinical features. Obstet Gynecol. 1985; 65: 691-694 PubMed Google Scholar , 15 Ritchie AC Female reproductive tract. in: 9th ed. Boyd's textbook of pathology. : Lea & Febiger, Philadelphia1990: 1294-1384 Google Scholar They may be as large as a few centimeters but are usually asymptomatic and of no clinical significance. Intestinal lesions due to paratubal or Müllerian cysts have not been previously reported.