Journals / Turkish Journal of Surgery / 2020 / Cilt: 36 - Sayı: 4

Endometriosis of the rectosigmoid colon mimicking gastrointestinal stromal tumor

Gastrointestinal stromal tümörü taklit eden rektosigmoid kolon endometriyozis

Pages
409–412
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Endometriosis should be consideredin the differential diagnosis of non-specific gastrointestinal symptoms in female subjects of reproductive age as the one reported here.

📌 3 Key Takeaways

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Objective & Hypothesis:Endometriosis is defined as the growth of functional endometriotic gland and stroma outside the uterine cavity.
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Key Findings & Data:This study aimedto report a rare case of a 37-year-old patient who was operated with laparoscopic colon resection for a malignant-appearing submucosal mass withindistinct borders at the rectosigmoid junction that received the final diagnosis in histopathological examination.
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Conclusion & Impact:Endometriosis should be consideredin the differential diagnosis of non-specific gastrointestinal symptoms in female subjects of reproductive age as the one reported here.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Endometriosis is defined as the growth of functional endometriotic gland and stroma outside the uterine cavity. Although it is common in women ofreproductive age, extragenital endometriosis is considerably rare. Due to its frequent localization at the rectosigmoid junction in the gastrointestinalsystem, endometriosis may manifest with abdominal pain, constipation, and rectal bleeding. Gastrointestinal stromal tumor is the most common mesenchymaltumor of the gastrointestinal system and develops from the muscularis propria. Its extraluminal component is prominent. This study aimedto report a rare case of a 37-year-old patient who was operated with laparoscopic colon resection for a malignant-appearing submucosal mass withindistinct borders at the rectosigmoid junction that received the final diagnosis in histopathological examination. Endometriosis should be consideredin the differential diagnosis of non-specific gastrointestinal symptoms in female subjects of reproductive age as the one reported here.

Özet

Endometriyozis, fonksiyonel endometriyotik gland ve stromanın uterin kavite dışında büyümesi olarak tanımlanır. Ekstragenital endometriyozis oldukça nadir görülen bir hastalık olmakla birlikte, doğurganlık çağındaki kadınlarda daha yaygın görülür. Gastrointestinal sistemde en sık rektosigmoid bileşkede görülen endometriyozis; karın ağrısı, konstipasyon, rektal kanama gibi semptomlara neden olabilir. Gastrointestinal stromal tümör, gastrointestinal sistemin en sık görülen mezenkimal tümörüdür ve muskularis propriadan gelişir. Ekstraluminal komponenti belirgindir. Bu yazıda, rektosigmoid bileşkede sınırları net ayırt edilemeyen, malign görünümlü submukozal kitle nedeniyle laparoskopik kolon rezeksiyonu yapılan ve histopatolojik inceleme ile kesin tanı alan 37 yaşında, nadir bir olgu sunuldu. Olgumuzda olduğu gibi nonspesifik gastrointestinal semptomları olan üreme çağındaki kadın hastalarda, ayırıcı tanıda endometriyozis de düşünülmelidir.

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Cite This Article

KAFADAR, M. T., SÜRGİT, Ö., ÇAVİŞ, T., KÖKTENER, A. (2022). Endometriosis of the rectosigmoid colon mimicking gastrointestinal stromal tumor. Turkish Journal of Surgery, Cilt: 36 - Sayı: 4, 409–412. https://ajindex.com/articles/614313

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References (1)

  1. Spaczynski RZ, Duleba AJ. Diagnosis of endometriosis. Semin Reprod Med 2003; 21: 193-208. [CrossRef] 2. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997; 24: 235-58. [CrossRef] 3. Nezhat F, Shamshirsaz A, Yildirim G, Nezhat C. Pelvic pain, endometriosis, and the role of the gynecologist. In: Altcheck A and Deligdisch L (eds.). Pediatric, Adolescent and Young Adult Gynecology. 1st ed. New Jersey: Wiley- Blackwell, 2009: 174-94. [CrossRef] 4. Remorgida V, Ferrero S, Fulcheri E, Ragni N, Martin DC. Bowel endometriosis: presentation, diagnosis and treatment. Obst Gynecol Surv 2007; 62: 461-70. [CrossRef] 5. Bartkowiak R, Zieniewicz K, Kaminski P, Krawczyk M, Marianowski L, Szymanska K. Diagnosis and treatment of sigmoidal endometriosis-a case report. Med Sci Monit 2000; 6: 787-90. [CrossRef] 6. Sturgeon C, Chejfec G, Espat NJ. Gastrointestinal stromal tumors: a spectrum of diseases. Surg Oncol 2003; 12: 21-6. [CrossRef] 7. Yıldırım S, Nursal TZ, Tarım A, Torer N, Bal N, Yıldırım T. Colonic obstruction due to rectal endometriosis: report of a case. Turk J Gastroenterol 2005; 16: 48-51. [CrossRef] 8. Sassi S, Bouassida M, Touinsi H, Mighri MM, Baccari S, Chebbi F, et al. Exceptional cause of bowel obstruction: rectal endometriosis mimicking carcinoma of rectum- a case report. Pan African Medical Journal 2011; 10: 33. [CrossRef] 9. Erkan N, Haciyanli M, Sayhan H. Abdominal wall endometriomas. Int J Gynaecol Obstet 2005; 89: 59-60. [CrossRef] 10. Verspyck E, Lefranc JP, Guyard B, Blondon J. Treatment of bowel endometriosis: A report of six cases of colorectal endometriosis and a survey of the literature. Eur J Obstet Gynecol Reprod Biol 1997; 71: 81-4. [CrossRef]