Arjonilla Marta, Khander Amrin, Pal Timothy, Jamorabo Daniel
Department of Medicine at Stony Brook University, Stony Brook, NY.
Division of Maternal-Fetal Medicine at Weill Cornell Medicine, New York City, NY.
ACG Case Rep J. 2022 Oct 7;9(10):e00872. doi: 10.14309/crj.0000000000000872. eCollection 2022 Oct.
Endometriosis occurs when endometrial tissue existing outside of the endometrial cavity has an inflammatory response, which can lead to swelling and scarring, generally in the abdominopelvic cavity. It commonly presents in reproductive-age women and very infrequently presents in postmenopausal women. We report a case of a 51-year-old woman who underwent a hysterectomy a decade before presentation with new-onset intermittent proctalgia and hematochezia. Her colonoscopy showed a sigmoid polyp, which was confirmed to be endometriosis on histopathology. This case highlights intestinal endometriosis as a rare differential to be considered in women, regardless of age, with abnormal rectal bleeding.
当子宫内膜腔外的子宫内膜组织发生炎症反应时，就会发生子宫内膜异位症，这通常会导致腹腔盆腔内出现肿胀和瘢痕形成。它常见于育龄女性，在绝经后女性中极为罕见。我们报告一例51岁女性病例，该患者在出现新发间歇性直肠疼痛和便血前十年接受了子宫切除术。她的结肠镜检查显示乙状结肠息肉，组织病理学证实为子宫内膜异位症。该病例强调，无论年龄大小，对于有异常直肠出血的女性，肠道子宫内膜异位症都是一种需要考虑的罕见鉴别诊断。
