Isolated endometriosis causing sigmoid colon obstruction: A case report

INTRODUCTION: Isolated endometriosis of the intestine causing large bowel obstruction is rare. PRESENTATION OF CASE: We present a case of endometriosis presenting as large bowel obstruction in a woman of childbearing age. She had no previous symptoms to suggest endometriosis and on presentation urgent surgery was required. The diagnosis of endometriosis was made only after pathological evaluation of the specimen. DISCUSSION: No cases of endometriosis confined to this sigmoid colon without pelvic involvement were noted in the literature. CONCLUSION: The diagnosis of endometriosis should be entertained when women of childbearing age presents with large bowel obstruction, whether or not the patient has other evidence of the disease. (C) 2013 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.