Prospective Evaluation of Outpatient Flexible Sigmoidoscopy in Patients With Deep Infiltrating Endometriosis.

Introduction: To study patients' acceptability of an outpatient flexible sigmoidoscopy (FS) protocol and to assess the diagnostic value of endoscopic assessment in patients with deep endometriosis (DE).

Methods: All patients with DE and suspected bowel involvement diagnosed were reviewed in the colorectal outpatient clinic before elective surgery following multidisciplinary team meeting discussion. Patients were consented for having the FS performed at the same time of the clinical consultation.

A rare case of omental cake.

Systemic amyloidosis is normally detected on histology by deposition of amyloid into soft tissue organs. Omental and peritoneal involvement are rare manifestations of the disease. The differential diagnosis for omental and peritoneal disease does not, therefore, normally include amyloid.