Khalid Al Orabi
Associate Consultant, King Abdullah Medical City,
Makkah
Saudi Arabia
Case Report
Multifocal Colonic Endometriosis: Diagnostic Challenge and Therapeutic Modalities
Author(s): Khalid Al Orabi and Asrar ZamzamiKhalid Al Orabi and Asrar Zamzami
Endometriosis occurs in 7-10% of women in the general population. It is an estrogen-dependent disease and, thus, usually affects reproductive aged women. intestinal involvement of endometriosis causing obstruction is relatively uncommon and is difficult to differentiate from neoplasia before surgery. Among women with intestinal endometriosis, the rectum and sigmoid colon are the most commonly involved areas (75–90%). We report a 22- year-old female presented with abdominal pain and rectal bleeding, and who had multifocal colonic endometriosis involving sigmoid colon and two other proximal foci (15 cm apart) diagnosed by histopathology after resection of the involved area laparoscopically with end to end anastomosis. She notices significant pain relieve one month after surgery and GnRH therapy. We did a review in the literature to find the best approach in such cases. Endometrios.. View More»