Endometriosis of rectosigmoid colon mimicking gastrointestinal stromal tumor
1Clinic of General Surgery, Health Sciences University Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey
2Clinic of Radiology, Atatürk Training and Research Hospital, Ankara, Turkey
3Clinic of General Surgery, Medicana International Ankara Hospital, Ankara, Turkey
4Clinic of Radiology, Ankara Umut Hospital, Ankara, Turkey
Keywords: Endometriosis, rectosigmoid, malignancy, laparoscopic resection
Endometriosis is defined as the growth of functional endometriotic gland and stroma outside uterine cavity. Although it is common in women of reproductive age, extragenital endometriosis is considerably rare. Due to the frequent localization at the rectosigmoid junction in the gastrointestinal system, endometriosis may manifest with abdominal pain, constipation, and rectal bleeding. Gastrointestinal stromal tumor is the most common mesenchymal tumor of the gastrointestinal system and develops from muscularis propria. Its extraluminal component is prominent. In this study, we report a rare case of a 37-year-old patient who was operated with laparoscopic colon resection for a malignant-appearing submucosal mass with indistinct borders at the rectosigmoid junction that received the final diagnosis in histopathological examination. Endometriosis should be considered in the differential diagnosis of non-specific gastrointestinal symptoms in female subjects of reproductive age as the one reported here.
This study was presented at the 33th National Radiology Congress, 07-11 November 2012, Antalya, Turkey.
Cite this paper as: Kafadar MT, Çaviş T, Sürgit Ö, Köktener A. Endometriosis of rectosigmoid colon mimicking gastrointestinal stromal tumor. Turk J Surg 2018; 10.5152/turkjsurg.2017.3730