Background Although gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare. Case presentation We present a case of a 41-year-old white woman with cyclic rectal bleeding. Magnetic resonance imaging was done, together with colonoscopy and histologic staining of biopsied samples, which led to the final diagnosis of intestinal invasive endometriosis with recto-sigmoid stricture. Our patient was treated symptomatically with stool softeners. Conclusion This case provides a rare example of catamenial bleeding. It is important to keep invasive endometriosis on the differential diagnosis whenever a premenopausal woman has cyclical rectal bleeding.
Bowel Endometriosis: Symptoms, diagnosis, and treatment
Deep Infiltrating Endometriosis (DIE) - Seckin Endometriosis Center
Catamenial pneumothorax: a rare manifestation of endometriosis
Medicina, Free Full-Text
A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy
Laparoendoscopic single-site surgery for deep infiltrating
Blood in Stool: What It Means and How to Treat It
Endometriosis symptoms
A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy