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Published in: Journal of Medical Case Reports 1/2018

Open Access 01-12-2018 | Case report

Intestinal endometriosis combined with colorectal cancer: a case series

Authors: Masatsugu Ishii, Masashi Yamamoto, Keitaro Tanaka, Mitsuhiro Asakuma, Shinsuke Masubuchi, Hiroki Hamamoto, Hiroshi Akutagawa, Yutaro Egashira, Yoshinobu Hirose, Junji Okuda, Kazuhisa Uchiyama

Published in: Journal of Medical Case Reports | Issue 1/2018

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Abstract

Background

Intestinal endometriosis is a common benign disease among menstruating women that affects the intestinal tract.

Case presentation

This case report presents seven Japanese cases of intestinal endometriosis with colorectal cancer treated by laparoscopic surgery. Five of the seven cases reported here are women presenting with bowel obstruction due to colorectal endometriosis with colorectal cancer. It can be confused with serious lesions such as advanced colorectal cancer with peritoneal involvement or invasion of adjacent organs (T4).

Conclusions

Therefore, we should consider the probability that the cause of bowel obstruction is not T4 but intestinal endometriosis. For surgical treatment, we recommend laparoscopic surgery for colorectal resection because of its benefits of differential diagnosis of T4, preserving fertility, and preventing excessive surgical stress. We performed laparoscopic resection in seven patients with intestinal endometriosis and colorectal cancer. These cases demonstrate the difficulty of establishing a differential diagnosis of intestinal endometriosis with colorectal cancer from T4.
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Metadata
Title
Intestinal endometriosis combined with colorectal cancer: a case series
Authors
Masatsugu Ishii
Masashi Yamamoto
Keitaro Tanaka
Mitsuhiro Asakuma
Shinsuke Masubuchi
Hiroki Hamamoto
Hiroshi Akutagawa
Yutaro Egashira
Yoshinobu Hirose
Junji Okuda
Kazuhisa Uchiyama
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2018
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-017-1537-3

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