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Background <p>Endometriosis is a prevalent gynecological condition that primarily affects women of reproductive age. When thegastrointestinal system is involved, it can lead to bowel dysfunction and pose diagnostic challenges.</p> Aims <p>To present a rare case of gastrointestinal endometriosis with concurrent uterine adenosarcoma, highlighting thediagnostic complexities and therapeutic considerations.</p> Methods <p>A 42-year-old female presented with refractory bloody diarrhea, abdominal pain, and significant unintentional weightloss for several months. Initial investigations, including stool studies and inflammatory markers, ruled out infectiousand common inflammatory causes. Endoscopic evaluation revealed multiple polypoid lesions, prompting furtherimaging. Magnetic resonance enterography (MRE) identified a uterine mass with suspected extrauterine involvementand a rectal nodule, raising concerns for malignancy or extensive gastrointestinal endometriosis. The patientunderwent surgical management, including total hysterectomy, bilateral salpingo-oophorectomy, and lower anteriorresection.</p> Results <p>Histopathological analysis confirmed the coexistence of uterine adenosarcoma and rectal endometriosis. The patientfully recovered after surgery without complications. At her 12-month follow-up, she remained asymptomatic, with noevidence of recurrence or residual disease.</p> Conclusions <p>This case underscores the diagnostic and therapeutic challenges of gastrointestinal endometriosis, particularly in thepresence of coexisting malignancy. A multidisciplinary approach is essential for early recognition and promptintervention, which are crucial for improving patient outcomes and quality of life.</p>

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A Case of Uterine Adenosarcoma and Colonic Endometriosis Masquerading as Inflammatory Bowel Disease

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月21日

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  • Chia-Jou Lin,
  • Ying-Cheng Chiang,
  • Tung-Hung Su,
  • I-Lun Shih,
  • Kuan‐Ting Kuo,
  • Shu-Chen Wei,
  • Yi-Jou Tai

摘要

Background

Endometriosis is a prevalent gynecological condition that primarily affects women of reproductive age. When thegastrointestinal system is involved, it can lead to bowel dysfunction and pose diagnostic challenges.

Aims

To present a rare case of gastrointestinal endometriosis with concurrent uterine adenosarcoma, highlighting thediagnostic complexities and therapeutic considerations.

Methods

A 42-year-old female presented with refractory bloody diarrhea, abdominal pain, and significant unintentional weightloss for several months. Initial investigations, including stool studies and inflammatory markers, ruled out infectiousand common inflammatory causes. Endoscopic evaluation revealed multiple polypoid lesions, prompting furtherimaging. Magnetic resonance enterography (MRE) identified a uterine mass with suspected extrauterine involvementand a rectal nodule, raising concerns for malignancy or extensive gastrointestinal endometriosis. The patientunderwent surgical management, including total hysterectomy, bilateral salpingo-oophorectomy, and lower anteriorresection.

Results

Histopathological analysis confirmed the coexistence of uterine adenosarcoma and rectal endometriosis. The patientfully recovered after surgery without complications. At her 12-month follow-up, she remained asymptomatic, with noevidence of recurrence or residual disease.

Conclusions

This case underscores the diagnostic and therapeutic challenges of gastrointestinal endometriosis, particularly in thepresence of coexisting malignancy. A multidisciplinary approach is essential for early recognition and promptintervention, which are crucial for improving patient outcomes and quality of life.