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Endometriosis with Intestinal Implants Mimicking Rectal Cancer.

1 Assistant Professor- Gastroenterintestinal and Liver Disease Research Centre, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran,
2 Internist, Baqiyatallah Re-search Centre For Gastroenterology and Liver Disease, Tehran, Iran,
3 Associate Professor, Department of Pathology, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
*Corresponding Author: M Ameli , Gastroenterintestinal and Liver Disease Research Centre, Iran Univer-sity of Medical Sciences, Firuzgar Hospital, Vali asr Square, Aban St. Tehran, Iran, Telephone: +98(21) 8214-1247, E-mail: [email protected].
Shiraz E-Medical Journal. 2009 April; 10(2): 84-9.
Article Type: Research Article; Received: Jan 2, 2009; Accepted: Mar 14, 2009; epub: Apr 1, 2009; ppub: Apr 2009


Abstract:: The case presented involves a thirty-eight year old woman with endometriosis, who was diagnosed by laparoscopic visualization and histopathological confirmation. After one year, and while the patient was on infertility work-up, she referred to a gastroenterologist from the gynecologic clinic because of palpable bulging and nodules discovered in a pelvic exam. Colonic involvement was detected by colonoscopy and endosonography. A pathology report of sections of the colonic mucosa revealed deciduosis (endometriosis). This incidence of this type of endometriosis is quite rare, and involves extensive involvement of colonic mucosa. We recommend careful pelvic examination and rectovaginal palpation in endometriosis pa-tients even if they appear asymptomatic for gastrointestinal complications.

Keywords: Endometriosis; Follow-up; Intestinal implants