LAPAROSCOPIC RESECTION OF SIGMOID ENDOMETRIOMA

Endometriosis as a cause for pelvic pain is quite common in women of c hild-bearing age. However, colonic and rectal involvement is relativel y rare and may have a wide array of clinical symptomatology and radiog raphic findings. We recently treated a patient who presented with cons tipation and bloating. She was found to have an extrinsic mass compres sing the rectosigmoid junction. Subsequent diagnostic laparoscopy reve aled a large lesion involving the sigmoid colon, and resection with pr imary anastomosis was performed using the laparoscope, Final pathology revealed benign endometrioma. The patient did well, was discharged on postoperative Day 3, and has had no further complaints. As this case shows, laparoscopy can be beneficial in both the diagnosis and treatme nt of patients with intestinal endometriosis.