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Volume 77 - 2014 - Fasc.4 - Clinical images

Colonic obstruction in a 45 year old female

We present a case of an unusual cause of colonic obstruction in a 45 year old female. The woman presented at the emergency department with a large bowel obstruction. Computed tomography of the abdomen showed distension of the colon with a lesion in the sigmoid colon with suspi- cion of a colonic malignancy. She underwent an urgent Hartmann procedure. Histology of the resection specimen revealed endome- triosis. This patient did not have any symptoms suggestive of endo- metriosis. When a woman of childbearing age presents with large bowel obstruction, endometriosis should be considered in the dif- ferential diagnosis. This patient had a hysterectomy with bilateral salpingo- oophorectomy, what maked the diagnosis of endometrio- sis less evident. (Acta gastroenterol. belg., 2014, 77, 433-434).