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Catamenial rectal bleeding due to invasive endometriosis: a case report. | LitMetric

Catamenial rectal bleeding due to invasive endometriosis: a case report.

J Med Case Rep

Department of Family Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, Florida, 32224, USA.

Published: May 2020

AI Article Synopsis

  • The text discusses a rare case of deep infiltrative endometriosis affecting the rectum in a 41-year-old woman presenting with cyclic rectal bleeding.
  • Diagnosis was confirmed through MRI, colonoscopy, and analysis of biopsied tissue, revealing intestinal invasive endometriosis with a stricture.
  • The case emphasizes the importance of considering invasive endometriosis as a potential cause of cyclical rectal bleeding in premenopausal women.

Article Abstract

Background: Although gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare.

Case Presentation: We present a case of a 41-year-old white woman with cyclic rectal bleeding. Magnetic resonance imaging was done, together with colonoscopy and histologic staining of biopsied samples, which led to the final diagnosis of intestinal invasive endometriosis with recto-sigmoid stricture. Our patient was treated symptomatically with stool softeners.

Conclusion: This case provides a rare example of catamenial bleeding. It is important to keep invasive endometriosis on the differential diagnosis whenever a premenopausal woman has cyclical rectal bleeding.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251904PMC
http://dx.doi.org/10.1186/s13256-020-02386-wDOI Listing

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