In women of reproductive age, the surgeon should consider endometriosis as a differential diagnosis in case of various gastrointestinal symptoms.Įndometriosis is a clinical entity, which was first described by von Rokitansky Kitansky as the presence of functioning endometrial tissue at sites outside the uterus. ConclusionĮndometriosis of the bowel is a disease that may cause large bowel obstruction. Our patient was doing well at the one-year follow up. Six months after this operation our patient had another surgery for restoration of large bowel continuity. The pathology report showed endometriosis of the colon and the appendix, and our patient received medical treatment for endometriosis. The bowel stenosis was resected, and temporary colostomy and appendectomy were performed. Our patient underwent exploratory laparotomy and rectum stenosis (almost complete obstruction) was observed. Digital examination revealed an empty rectum and bowel obstruction was diagnosed. On physical examination, our patient had a painful distended abdomen. Case presentationĪ 36-year-old Greek woman was admitted to the emergency room of our hospital with signs of acute abdomen. The presence and/or association of appendiceal endometriosis, concomitant with rectal endometriosis, is possible. Bowel endometriosis is usually asymptomatic, but it may show non-specific symptoms. Endometriosis is a clinical entity which presents with functioning endometrial tissue at sites outside the uterus.
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