Abstract
Endometriosis is an inflammatory disease. The etiology of endometriosis is exactly unknown. A 42-year-old virgin experienced a sudden increase in pain that began one day prior to examination. She had been suffering from dysmenorrhea and menorrhagia. The patient had abdominal guarding with severe rebound tenderness. On computed tomography, both ovaries were normal, and sigmoid colon was seen in the peripheral portion of the pelvic hematoma. Pathologic findings revealed endometriosis in the colonic serosa cyst. Our data provide a new diagnostic key for hemoperitoneum caused by endometriosis in the colonic serosa. Key words: Hemoperitoneum, endometriosis, colon.
Highlights
Endometriosis is a chronic inflammatory gynecologic disease
Infertility is the primary complication associated with endometriosis, and dysmenorrhea or dyspareunia may be associated
Laparoscopy revealed a subserosal myoma in the uterus, bilateral normal ovaries, and a 1000-cc hemoperitoneum
Summary
Endometriosis is a chronic inflammatory gynecologic disease. Infertility is the primary complication associated with endometriosis, and dysmenorrhea or dyspareunia may be associated. Extrapelvic endometriosis results from an endometriotic implantation, observed most commonly in the gastrointestinal tract, and found in the urinary, pulmonary or central nervous system, skin, or other organ (Dimoulios et al, 2003). Because patients with intestinal endometriosis frequently report symptoms of rectal bleeding, bowel obstruction, and rarely, perforation, they are often misdiagnosed with cancer (Dimoulios et al, 2003). The present case study reports on a patient with a hemoperitoneum that was misdiagnosed as ovarian cyst rupture.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
