Abstract
42-year-old with history of total hysterectomy, bilateral salpingectomy, and right oophorectomy with another provider for the treatment of adenomyosis and endometrioma two years prior, presented with cyclical hematochezia. Postoperatively, chronic pelvic pain improved, however cyclical hematochezia and rectal passage of mucus developed. Colonoscopy showed a 3-4cm nodule, 12cm from anal verge concerning for endometriosis. Sagittal high resolution T2 weighted imaging on MRI showed curvilinear T2 hypointense marked thickening corresponding to deep infiltrating endometriosis involving the anterior sigmoid classically described as a
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