Korean Journal of Gastrointestinal Endoscopy  2004;29(6):534-538

A Case of Endometriosis Presenting as Constipation.

Sang Hyen JOO 1 ; Woo Jin JEONG ; Jeong Soo KIM ; Won Il PARK ; Gwang Ha KIM ; Jeong HEO ; Dae Hwan KANG ; Geun Am SONG ; Mong CHO ; Suk KIM ; Do Youn PARK

Affiliations

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Keywords

Endometriosis; Submucosal tumor; Constipation

Country

Republic of Korea

Language

Korean

Abstract

Endometriosis is the abnormal growth of endometrial tissue outside of uterine cavity. The incidence of endometriosis is estimated about 8~15% of the reproductive women. The intestinal invasion is showed at about 3~34%. The intestinal invasion may be involved in rectosigmoid colon, appedix, ileum, and cecum in order of decreasing frequency. Until now, only 7 cases have been reported in Korea. Most cases are diagnosed after surgery. And then the diagnosis need to be confirmed by surgical pathology. Recently, a 42 year-old woman visited due to severe constipation. A flexible sigmoidoscopy revealed submucosal tumor on rectosigmoidal juction 20 cm above the anal verge. The surgical resection was performed and the biopsy showed the endomtriosis involving mucosa, submucosa, muscularis, serosa, subserosa and lymph node.