Badipatla Kanthi Rekha, Vupputuri Anisha, Niazi Masooma, Blaise Marie-Nirva, Nayudu Suresh Kumar
Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA; Division of Gastroenterology, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
Gastroenterology Res. 2017 Feb;10(1):59-62. doi: 10.14740/gr760e. Epub 2017 Feb 21.
Endometriosis is a common gynecological condition wherein there is an ectopic implantation of the uterine endometrial tissue. While several diagnostic modalities are described for the condition, laparoscopy remains the gold standard. There is still an undiscovered area to diagnose colonic endometriosis at an earlier stage. We present a case report of a reproductive age woman with cyclical rectal bleeding diagnosed with colonic endometriosis with colonoscopy and biopsy using saline injection lift and sampling technique. We in our report try to impress the fact that this differential should always be considered in the appropriate clinical setting, especially in women of childbearing age and in such cases, deeper tissue sampling techniques should be sought for, given better diagnostic yield. This may be clinically important given that it may aid in earlier diagnosis and thereby early initiation of appropriate therapy before the disease takes a complicated route. It may also be helpful in avoiding unnecessary surgery, along with the morbidity, complications and costs associated with same.
子宫内膜异位症是一种常见的妇科疾病，即子宫内膜组织异位植入。虽然针对该病症描述了几种诊断方法，但腹腔镜检查仍是金标准。在更早阶段诊断结肠子宫内膜异位症仍存在未被探索的领域。我们报告一例育龄女性病例，该患者有周期性直肠出血，通过结肠镜检查以及使用盐水注射抬举和采样技术进行活检，诊断为结肠子宫内膜异位症。我们在报告中试图强调，在适当的临床环境中，尤其是育龄女性中，应始终考虑这种鉴别诊断，在这种情况下，鉴于更高的诊断率，应寻求更深入的组织采样技术。鉴于其有助于早期诊断，从而在疾病发展为复杂情况之前尽早开始适当治疗，这在临床上可能很重要。它还有助于避免不必要的手术以及与之相关的发病率、并发症和费用。
