CASE 714: ENDOMETRIOSIS at Posterior Pouch, Dr PHAN THANH HẢI, Dr TRƯƠNG THỊ XUÂN HOA, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 

A 48 year-old woman,  G2P2, with colicky pain of her colon is getting worse for one month. She has been managed for vaginitis and inflammed uterine cervix, and irritable bowel syndrome that was noted usually existing in her periods.

TVS and colposcopy showed  acute inflammed cervix and vaginitis. Colonoscopy denied colon disorders.

But in the second reexamination she has got menorrhagia for 7 days and there was continuous feelings of crapping with loose stool.

At that time colposcopy revealed some white spots at 13 and 16 o'clock of the cervix. These spots were swollen and getting in brownish color that lead to think about an endometriosis case.

MRI confirmed  the 38x17 mm [deep infiltrating endometriosis, DIE] endometrial mass at the posterior [rectouterine] pouch of the peritoneum and at the posterior cervix.

Understanding her condition, the patient accepts no further intervention.