Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy
We report an uncommon case of deep infiltrating endometriosis of the colon presenting as iron deficiency anemia nine years after hysterectomy with bilateral salpingo-oophorectomy. The endometrial implant was found at the hepatic flexure, an exceedingly rare location for endometriosis invasion with n...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/9587536 |
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| author | Benjamin M. Snyder Joseph W. Beets Bruce A. Lessey Samuel R. W. Horton Gary A. Abrams |
| author_facet | Benjamin M. Snyder Joseph W. Beets Bruce A. Lessey Samuel R. W. Horton Gary A. Abrams |
| author_sort | Benjamin M. Snyder |
| collection | DOAJ |
| description | We report an uncommon case of deep infiltrating endometriosis of the colon presenting as iron deficiency anemia nine years after hysterectomy with bilateral salpingo-oophorectomy. The endometrial implant was found at the hepatic flexure, an exceedingly rare location for endometriosis invasion with no cases distinctly reported in the literature. Additionally, the presentation of gastrointestinal endometriosis as iron deficiency anemia is not well documented in the literature. Instead of surgery, we prescribed a novel medical therapeutic approach using conjugated estrogen-bazedoxifene to antagonize the proliferative effects of estrogen on endometrial tissue. After five months of therapy and repeat colonoscopy, no evidence of endometrial tissue remained in the hepatic flexure. |
| format | Article |
| id | doaj-art-360cd501a78c46098125a16bb18a0cff |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-360cd501a78c46098125a16bb18a0cff2025-02-03T05:51:44ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/95875369587536Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical TherapyBenjamin M. Snyder0Joseph W. Beets1Bruce A. Lessey2Samuel R. W. Horton3Gary A. Abrams4University of South Carolina School of Medicine Greenville, Greenville, SC, USADepartment of Gastroenterology/Liver Center, Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, SC, USADepartment of Obstetrics and Gynecology, Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, SC, USADepartment of Pathology, Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, SC, USADepartment of Gastroenterology/Liver Center, Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, SC, USAWe report an uncommon case of deep infiltrating endometriosis of the colon presenting as iron deficiency anemia nine years after hysterectomy with bilateral salpingo-oophorectomy. The endometrial implant was found at the hepatic flexure, an exceedingly rare location for endometriosis invasion with no cases distinctly reported in the literature. Additionally, the presentation of gastrointestinal endometriosis as iron deficiency anemia is not well documented in the literature. Instead of surgery, we prescribed a novel medical therapeutic approach using conjugated estrogen-bazedoxifene to antagonize the proliferative effects of estrogen on endometrial tissue. After five months of therapy and repeat colonoscopy, no evidence of endometrial tissue remained in the hepatic flexure.http://dx.doi.org/10.1155/2018/9587536 |
| spellingShingle | Benjamin M. Snyder Joseph W. Beets Bruce A. Lessey Samuel R. W. Horton Gary A. Abrams Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy Case Reports in Gastrointestinal Medicine |
| title | Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy |
| title_full | Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy |
| title_fullStr | Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy |
| title_full_unstemmed | Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy |
| title_short | Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy |
| title_sort | postmenopausal deep infiltrating endometriosis of the colon rare location and novel medical therapy |
| url | http://dx.doi.org/10.1155/2018/9587536 |
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