Journal of the Chinese Medical Association
Volume 69, Issue 1 , Pages 47-50, January 2006

Extrapelvic Endometriosis Complicated with Colonic Obstruction

  • Yu-Hung Lin

      Affiliations

    • Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Surgery, Koo Foundation Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • Li-Jen Kuo

      Affiliations

    • Division of Colorectal Surgery, Koo Foundation Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
    • Department of Surgery, Koo Foundation Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr. Li-Jen Kuo, Division of Colorectal Surgery, Department of Surgery, Koo Foundation Sun Yat-Sen Cancer Center Hospital, 125, Lih-Der Road, Pei-Tou District, Taipei 112, Taiwan, R.O.C.
    • ,
  • Ai-Ying Chuang

      Affiliations

    • Department of Pathology, Koo Foundation Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • Tsun-I Cheng

      Affiliations

    • Department of Internal Medicine, Koo Foundation Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • Chi-Feng Hung

      Affiliations

    • Department of Gynecology, Koo Foundation Sun Yat-Sen Cancer Center Hospital, Taipei, Taiwan, R.O.C.

Received 3 November 2004; accepted 10 August 2005.

Article Outline

Endometriosis is often seen in gynecology practice and is treated medically. However, intestinal involvement of endometriosis causing obstruction is relatively uncommon and is hard to differentiate from malignancy before surgery. Herein, we present a case of acute colonic obstruction caused by rectal endometriosis. Repeat colonoscopic biopsy and imaging studies could not differentiate the lesion from malignancy. Segmental resection with anastomosis was performed to relieve the symptom and confirm the diagnosis. We present this unusual disease in general surgical practice and also review the literature. The incidence, symptoms, diagnosis, treatment, and risk of malignancy of intestinal endometriosis are discussed.

Key Words:  colon , endometriosis , intestinal obstruction

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PII: S1726-4901(09)70111-X

doi:10.1016/S1726-4901(09)70111-X

Journal of the Chinese Medical Association
Volume 69, Issue 1 , Pages 47-50, January 2006

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