Tubal Remnant with Rectosigmoid Stricture in the Background of Endometriosis

A 49 year old surgically menopausal female on hormone replacement therapy presented to our clinic with persistent abdominal pain, pelvic pressure, nausea, and vomiting. She had history of severe endometriosis with prior total abdominal hysterectomy and bilateral salpingo-oophorectomy (BSO) performed at an outside facility. Significant bowel adhesions were encountered intra-operatively and the endometriosis was incompletely excised. A pelvic MRI at our institution demonstrated a nodular lesion in the sigmoid colon measuring 15  × 11mm impressing upon the wall of the colon resulting in luminal narrowing over a length of approximately 2cm (Figure 1).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Original Article Source Type: research