In the differential diagnosis of colonic obstruction, the endometriosis is an uncommon disease, rarely reported. The endometriosis of the bowel should be suspected on young women with a history of colonic symptoms and gynecologic complaints. The preoperative diagnosis is difficult, based on the clinical history, the imaging modalities and the endoscopic explorations.
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Article Synopsis
- The rectovaginal septum is an uncommon site for tumors, with most being extensions from rectal or vaginal cancers; primary tumors in this area are rare.
- A case is presented of a 44-year-old woman who developed a high-grade sarcoma in the rectovaginal septum related to endometriosis, which poses diagnostic challenges.
- It’s essential to investigate for endometriotic lesions when examining rectovaginal neoplasms, as they can assist in diagnosis, and although rare, sarcomas should be included in differential diagnoses.
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