一例难以与结肠癌鉴别的乙状结肠子宫内膜异位症病例。
A case of sigmoid endometriosis difficult to differentiate from colon cancer.
作者信息
Dimoulios Philippos, Koutroubakis Ioannis E, Tzardi Maria, Antoniou Pavlos, Matalliotakis Ioannis M, Kouroumalis Elias A
机构信息
Department of Gastroenterology, University Hospital Heraklion, Crete, Greece.
出版信息
BMC Gastroenterol. 2003 Aug 7;3:18. doi: 10.1186/1471-230X-3-18.
BACKGROUND
Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal involvement is rare and differential diagnosis from colon cancer may be difficult due to the lack of pathognomonic symptoms and the poor diagnostic yield of colonoscopy and colonic biopsies.
CASE PRESENTATION
We present a case of a young woman with sigmoid endometriosis, in which the initial diagnostic workup suggested colon cancer. Histologic evidence, obtained from a second colonoscopy, along with pelvic ultrasound findings led to the final diagnosis of intestinal endometriosis which was confirmed by laparoscopy.
CONCLUSION
Colonic endometriosis is often a diagnostic challenge and should be considered in young women with symptoms from the lower gastrointestinal tract.
背景
尽管乙状结肠浆膜受累的子宫内膜异位症在育龄女性中并不少见，但黏膜受累情况罕见，且由于缺乏特征性症状以及结肠镜检查和结肠活检的诊断阳性率较低，与结肠癌的鉴别诊断可能存在困难。
病例报告
我们报告一例年轻女性乙状结肠子宫内膜异位症病例，其最初的诊断检查提示为结肠癌。通过第二次结肠镜检查获得的组织学证据以及盆腔超声检查结果最终确诊为肠道子宫内膜异位症，腹腔镜检查进一步证实了这一诊断。
结论
结肠子宫内膜异位症常常是一个诊断难题，对于有下消化道症状的年轻女性应考虑该病。
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