RECTAL BLEEDING DUE TO ENDOMETRIOSIS IN COLONIC MUCOSA: A CASE REPORT
Keywords:
Endometriosis, Intestinal endometriosis, PremenopausalAbstract
Endometriosis is a common and important clinical problem in women of childbearing age. It is the result of functional endometrium located outside the uterus. The most common location for endometriotic deposits is in the ovaries (Jenkins et al., 1986). Intestinal endometriosis is less common, about 12% of endometriosis patients (Macafee and Greer, 1960). Colorectal involvement results in alterations of bowel habits, such as constipation, diarrhea, tenesmus, dyschezia, and, rarely, rectal bleeding. I present the case of a 44-year-old woman presented with rectal bleeding and anemic symptoms, and was found to have an intraluminal polypoid mass at upper rectum from the computed tomography (CT). The diagnostic workup by colonoscopy was performed and suggested to be rectal cancer. The diagnosis of endometriosis was made only after pathological evaluation of the specimen and confirmed by immunostaining (+CK7, +CD10, and +ER). The intestinal endometriosis is one of differential diagnosis in premenopausal women with symptom of rectal bleeding.
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