Article Text
Statistics from Altmetric.com
Clinical presentation
A 42 year old woman, gravida 3 para 2, was referred to our outpatient clinic for abdominal pain, bloody diarrhoea, and sideropenic anaemia (haemoglobin 9.9 g/dl, iron 40 μg/dl; ferritin 3 ng/dl). Eight months earlier she had underwent colonoscopy. A polyp in the sigmoid colon had been found and removed by hot snare polypectomy. Histological examination had showed the presence of endometriotic foci. After polypectomy, symptoms disappeared. She had never complained of dysmenorrhoea or dyspareunia, symptoms often associated with endometriosis.
Six months later symptoms recurred. We performed colonoscopy twice, during menses and in the intermenstrual period (figs 1, 2, respectively). Colonoscopies showed a polypoid lesion at the same site of the previous polypectomy.
Question
What do these endoscopic images suggest and how would you manage this patient?
See page 1019 for answer
This case is submitted by:
Request Permissions
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Copyright information:
Linked Articles
- Editor's quiz: GI Snapshot