Bowel endometriosis: a diagnostic and therapeutic challenge

Beng Kwang Ng, Su Ee Phon, Ani Amelia Zainuddin, Wendy Yin Ling Ng, Nordashima Abd Shukor, Pei Shan Lim

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Bowel endometriosis is the most common extragenital manifestation of endometriosis. Clinical suspicion is of utmost importance for achieving its diagnosis. Management of this condition is, however, always challenging to the gynaecologist. We report a case of bowel endometriosis in which the patient presented with dyschezia and haematochezia prior to her menses for the past 2 years. A 44-year-old para two woman presented with worsening dysmenorrhea and dyspareunia. She also experienced dyschezia and haematochezia prior to her menses for the past 2 years. An examination revealed a fixed retroverted uterus. A computed tomography scan showed focal bowel thickening. She underwent a colonoscopy examination and biopsy that revealed stromal endometriosis. She was subsequently treated with dienogest and became asymptomatic. Diagnosis and management of this debilitating illness was revisited and discussed.

Original languageEnglish
Article number20170051
JournalHormone Molecular Biology and Clinical Investigation
DOIs
Publication statusAccepted/In press - 6 Sep 2017

Fingerprint

Endometriosis
dienogest
Gastrointestinal Hemorrhage
Menstruation
Constipation
Uterine Retroversion
Dyspareunia
Dysmenorrhea
Colonoscopy
Therapeutics
Tomography
Biopsy

Keywords

  • bowel
  • dienogest
  • endometriosis
  • extragenital
  • progesterone

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Molecular Biology
  • Endocrinology

Cite this

Bowel endometriosis : a diagnostic and therapeutic challenge. / Ng, Beng Kwang; Phon, Su Ee; Zainuddin, Ani Amelia; Ng, Wendy Yin Ling; Abd Shukor, Nordashima; Lim, Pei Shan.

In: Hormone Molecular Biology and Clinical Investigation, 06.09.2017.

Research output: Contribution to journalArticle

@article{d5da70d86ce440a7ac79656596dd2aee,
title = "Bowel endometriosis: a diagnostic and therapeutic challenge",
abstract = "Bowel endometriosis is the most common extragenital manifestation of endometriosis. Clinical suspicion is of utmost importance for achieving its diagnosis. Management of this condition is, however, always challenging to the gynaecologist. We report a case of bowel endometriosis in which the patient presented with dyschezia and haematochezia prior to her menses for the past 2 years. A 44-year-old para two woman presented with worsening dysmenorrhea and dyspareunia. She also experienced dyschezia and haematochezia prior to her menses for the past 2 years. An examination revealed a fixed retroverted uterus. A computed tomography scan showed focal bowel thickening. She underwent a colonoscopy examination and biopsy that revealed stromal endometriosis. She was subsequently treated with dienogest and became asymptomatic. Diagnosis and management of this debilitating illness was revisited and discussed.",
keywords = "bowel, dienogest, endometriosis, extragenital, progesterone",
author = "Ng, {Beng Kwang} and Phon, {Su Ee} and Zainuddin, {Ani Amelia} and Ng, {Wendy Yin Ling} and {Abd Shukor}, Nordashima and Lim, {Pei Shan}",
year = "2017",
month = "9",
day = "6",
doi = "10.1515/hmbci-2017-0051",
language = "English",
journal = "Hormone Molecular Biology and Clinical Investigation",
issn = "1868-1883",
publisher = "Walter de Gruyter GmbH",

}

TY - JOUR

T1 - Bowel endometriosis

T2 - a diagnostic and therapeutic challenge

AU - Ng, Beng Kwang

AU - Phon, Su Ee

AU - Zainuddin, Ani Amelia

AU - Ng, Wendy Yin Ling

AU - Abd Shukor, Nordashima

AU - Lim, Pei Shan

PY - 2017/9/6

Y1 - 2017/9/6

N2 - Bowel endometriosis is the most common extragenital manifestation of endometriosis. Clinical suspicion is of utmost importance for achieving its diagnosis. Management of this condition is, however, always challenging to the gynaecologist. We report a case of bowel endometriosis in which the patient presented with dyschezia and haematochezia prior to her menses for the past 2 years. A 44-year-old para two woman presented with worsening dysmenorrhea and dyspareunia. She also experienced dyschezia and haematochezia prior to her menses for the past 2 years. An examination revealed a fixed retroverted uterus. A computed tomography scan showed focal bowel thickening. She underwent a colonoscopy examination and biopsy that revealed stromal endometriosis. She was subsequently treated with dienogest and became asymptomatic. Diagnosis and management of this debilitating illness was revisited and discussed.

AB - Bowel endometriosis is the most common extragenital manifestation of endometriosis. Clinical suspicion is of utmost importance for achieving its diagnosis. Management of this condition is, however, always challenging to the gynaecologist. We report a case of bowel endometriosis in which the patient presented with dyschezia and haematochezia prior to her menses for the past 2 years. A 44-year-old para two woman presented with worsening dysmenorrhea and dyspareunia. She also experienced dyschezia and haematochezia prior to her menses for the past 2 years. An examination revealed a fixed retroverted uterus. A computed tomography scan showed focal bowel thickening. She underwent a colonoscopy examination and biopsy that revealed stromal endometriosis. She was subsequently treated with dienogest and became asymptomatic. Diagnosis and management of this debilitating illness was revisited and discussed.

KW - bowel

KW - dienogest

KW - endometriosis

KW - extragenital

KW - progesterone

UR - http://www.scopus.com/inward/record.url?scp=85037626075&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85037626075&partnerID=8YFLogxK

U2 - 10.1515/hmbci-2017-0051

DO - 10.1515/hmbci-2017-0051

M3 - Article

C2 - 28877032

AN - SCOPUS:85037626075

JO - Hormone Molecular Biology and Clinical Investigation

JF - Hormone Molecular Biology and Clinical Investigation

SN - 1868-1883

M1 - 20170051

ER -