Merter GÜLEN, Sezai LEVENTOĞLU, B. Bülent MENTEŞ, Fatma TOKAT, Beyhan DEMİRHAN, F. Bahattin DURU, Mehmet YÖRÜBULUT

KOLON KANSERİNİ TAKLİT EDEN SİGMOİD KOLON ENDOMETRİOZİSİ

Endometriozis reprodüktif çağdaki kadınlarda en sık karşılaşılan jinekolojik rahatsızlıklardan biridir. Pelvik endometriozisi olan hastalarda yüzde 3 ile 37 oranında başta rektosigmoid kolon olmak üzere intestinal tutulum mevcuttur. Bazen kolon ve rektum karsinomlarının kolorektal endometriozisten benzer kolonoskopik ve radyolojik bulgular nedeniyle ayrımı güç olabilmektedir. Bu olgu sunumunda 45 yaşında bayan hastaya kolonik endometriozise bağlı intraabdominal kitle ve barsak obstrüksiyonu bulguları nedeniyle anterior rezeksiyon uygulanmıştır. Yapılan histopatolojik inceleme sonucu kolonik endometriozis olarak raporlanmıştır. Bu olgu intestinal endometriozisin kolon kanserini taklit edebilme özelliğini ve pre-operatif kesin tanının ortaya konmasındaki zorluğa dikkati çekmektedir

Endometriosis of The Sigmoid Colon Mimicking Colon Cancer

Endometriosis is one of the most common benign gynecological disorders in women of reproductive age. Intestinal involvement occurs in 3 to 37 percent of patients with pelvic endometriosis, usually affecting the rectosigmoid colon. Sometimes, the differential diagnosis of colorectal endometriosis from carcinoma of the colon and rectum is difficult due to similar colonoscopic and radiologic findings. We report a case of a 45-year-old woman presenting with intraabdominal mass and symptoms of bowel obstruction due to colonic endometriosis. An uneventful anterior resection of the sigmoid colon was performed. Histopathological examination of the resected colon revealed colonic endometriosis. This case demonstrates the difficulty of establishing an accurate pre-operative diagnosis and the ability of intestinal endometriosis to mimic colon cancer

Keywords:

endometriosis, colon carcinoma, bowel obstruction,

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