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Diagnosis of Bowel Endometriosis Using Endoscopic Ultrasound-guided Fine Needle Aspiration

Ana Catarina Carvalho ; Ricardo Cardoso ; Francisco Pires ; Sofia Ventura ; Francisco Portela ; Paula Ministro ; Américo Silva

The Korean journal of gastroenterology, 2023-01, Vol.81, p.46-51 [Periódico revisado por pares]

대한소화기학회

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  • Título:
    Diagnosis of Bowel Endometriosis Using Endoscopic Ultrasound-guided Fine Needle Aspiration
  • Autor: Ana Catarina Carvalho ; Ricardo Cardoso ; Francisco Pires ; Sofia Ventura ; Francisco Portela ; Paula Ministro ; Américo Silva
  • Assuntos: Endometriosis ; Endoscopic ultrasound-guided fine needle aspiration ; Endoscopy ; Intestinal obstruction
  • É parte de: The Korean journal of gastroenterology, 2023-01, Vol.81, p.46-51
  • Notas: Korean Society of Gastroenterology
  • Descrição: Endometriosis is a relatively common gynecological condition in women of reproductive age. The rectosigmoid region is the most commonly affected segment when the gastrointestinal tract is involved. A differential diagnosis of colorectal neoplasia is difficult because of the similar clinical, endoscopic, and radiology findings. A 42-year-old female presented with abdominal distention and was subsequently diagnosed with a large bowel obstruction in the rectum. A temporary colostomy was performed, and endoscopy revealed a rectal mass obstructing the rectum. The biopsy showed normal mucosa, and it was difficult to exclude rectal malignancies even after the imaging workup. Endoscopic ultrasound demonstrated a hypoechoic lesion below the rectal mucosa, and fine needle aspiration confirmed the diagnosis of bowel endometriosis. Bowel endometriosis is a challenging diagnosis. Endoscopic ultrasound- guided fine-needle aspiration is useful for acquiring adequate samples for histological confirmation and a definitive diagnosis of bowel endometriosis. (Korean J Gastroenterol 2023;81:46-51)
  • Editor: 대한소화기학회
  • Idioma: Coreano
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