Quintana-Rapatalo Roland J, Phrathep Davong D, Ward Ivanna, Healey Kevin D, Anthony Stefan, Herman Michael
College of Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus. 2023 Jan 17;15(1):e33886. doi: 10.7759/cureus.33886. eCollection 2023 Jan.
Our report highlights the diagnosis of cecal endometriosis as a unique cause of hematochezia in a postmenopausal female. Cecal endometriosis manifesting as intermittent hematochezia and abdominal pain is uncommon but requires prompt clinical diagnosis and management. We report a case of cecal endometriosis causing hematochezia and subsequent syncope, which prompted the patient's admission to the emergency department. In our patient, a diagnosis of cecal endometriosis was made after a colonoscopy, with multiple biopsies confirming the presence of endometrial tissue embedded in the cecum. We aim to bring awareness of cecal endometriosis presenting as hematochezia in a postmenopausal woman with a history of abdominal pain. This case highlights intestinal endometriosis as a differential diagnosis to be considered in women, regardless of age, with intermittent hematochezia and abdominal pain.
我们的报告强调了盲肠子宫内膜异位症作为绝经后女性便血的一个独特病因。表现为间歇性便血和腹痛的盲肠子宫内膜异位症并不常见，但需要及时进行临床诊断和处理。我们报告一例盲肠子宫内膜异位症导致便血及随后晕厥的病例，这促使患者入住急诊科。在我们的患者中，结肠镜检查后诊断为盲肠子宫内膜异位症，多次活检证实盲肠中有嵌入的子宫内膜组织。我们旨在提高对有腹痛病史的绝经后女性出现便血的盲肠子宫内膜异位症的认识。该病例突出了肠道子宫内膜异位症作为有间歇性便血和腹痛的女性（无论年龄）应考虑的鉴别诊断。
