Endometriosis is defined as the presence of endometrial tissue that is
located outside the uterine cavity, associated with fibrosis and inflammatory
reaction. The most common atypical locations are the gastrointestinal tract,
urinary tract, lung, as well as abdominal surgical scars. Its diagnosis is
still very difficult, especially when it manifests itself as an acute large
bowel obstruction. We report the rare case of a 41-year-old patient diagnosed
with acute colonic obstruction following a rectal tumor. She had undergone
colonostomy even though colonoscopy biopsies were nonspecific, and a computed
tomography (CT) scan was requested. It showed an adnexal heterogenous mass,
therefore the patient had a laparotomy and a subtotal hysterectomy with
bilateral salpingo-oophorectomy and a biopsy of the recto-colonic hinge.
Histologic examination revealed a diagnosis of rectal endometriosis. The
purpose of this work is to report a rare case of colonic endometriosis
responsible for an acute large bowel obstruction.
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