생리 주기에 따라 형태적 변화를 보인 대장의 자궁내막증식증 1예

Abstract

The incidence of endometriosis is 8～15% in reproductive age women, of whom 3～37% show intestinal invasion. We report a case of endometriosis with sigmoid invasion in a 48-year-old female. The patient had bowel habit changes in accordance with her menstrual cycle, along with lower abdominal pain, tenesmus, and bleeding on defecation. A sigmoid colon mass was identified on sigmoidoscopic examination. The biopsy results showed typical colonic endometriosis. On subsequent colonoscopic examinations, the previous lesion showed apparent changes in accordance with menstrual cycle. Lower anterior resection of the colon and total hysterectomy were successfully performed. We present this case along with a brief review of the literature.