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Original Article
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Korean J Med. 2007;73(3):900-904.
- 증례 : 활동성 출혈을 동반한 용종 형태의 직장 자궁내막증 1예
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신재욱&#;이준행&#;양 선&#;오성욱&#;이유지&#;백승운&#;이종철, , , , , ,
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- A case of rectal endometriosis with a polypoid shape and accompanied with active bleeding.
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Jae Uk Shin, Jun Haeng Lee, Sun Yang, Sung Ook Oh, Yu Ji Lee, Seung Woon Paik, Jong Chul Rhee
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- Endometriosis is a relatively common disease in women of reproductive age and it usually develops in theovary, the
uterine ligament and the intrapelveic peritoneum. Involvement of gastrointestinal tract is reported in 3 to 34% of
endometriosis patients, and the rectum and sigmoid colon are most commonly involved. Enteric endometrios is usually
asymptomatic, but when it is symptomatic, the symptoms are lower abdominal and pelvic pain that especially worsens
during the menstrual period. Rectal bleeding is infrequent because endometriosis rarely involves the mucosal layer. The
diagnosis of enteric endometriosis is difficult to make via endoscopy because of the same reason and so diagnosis usually
requires surgical biopsies. We recently examined a 45year old woman who visited our hospital for the complaint of
hematochezia. During the colonoscopic examination, a bleeding polyp 2 centimeters in size was discovered in the rectum.
The polyp was resected by endoscopic mucosal resection and it was found to be endometrial tissue on histologic
examination.(Korean J Med 73:S900-S904, 2007)
Key Words : Endoscopy, Endometriosis, Rectum,
Keywords :Endoscopy, Endometriosis, Rectum, Gastrointestinal hemorrhage
