A Rare Case of Descending Colon Endometriosis
Abstract: Endometriosis is the presence of functional endometrial glands and stroma outside the uterine cavity, most commonly affecting the ovaries, uterosacral ligaments, and rectosigmoid colon. Descending colon involvement is exceptionally rare, likely due to coelomic metaplasia. We present a 40-year-old woman with cyclical left flank pain and menorrhagia. MRI revealed adenomyosis and a T1 hyperintense lesion along the descending colon wall, further characterized on CT as a heterogeneously enhancing serosal lesion. Surgical excision confirmed endometriotic involvement. This case highlights the importance of considering bowel endometriosis in reproductive-age women with cyclical abdominal pain and atypical bowel lesions.
Keywords: Endometriosis, coelomic theory, descending colon, adenomyosis, bowel endometriosis, chronic pelvic pain
How to Cite?: Dr. Abhishekavalli J. P., Dr. Deepak Patkar, Dr. Neemish Kamat, "A Rare Case of Descending Colon Endometriosis", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 257-259, https://www.ijsr.net/getabstract.php?paperid=SR251104165745, DOI: https://dx.doi.org/10.21275/SR251104165745