• Cosmin Alexandru Palcău University Emergency Hospital of Bucharest, Bucharest, Romania
  • Bolocan Alexandra University Emergency Hospital of Bucharest, Bucharest, Romania & „Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • Sorina Nechita University Emergency Hospital of Bucharest, Bucharest, Romania
  • Daniel Ion University Emergency Hospital of Bucharest, Bucharest, Romania & „Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • Dan Nicolae Păduraru University Emergency Hospital of Bucharest, Bucharest, Romania & „Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Keywords: endometriosis, recto-sigmoid endometriosis, acute abdomen, acute bowel obstruction


Endometriosis is a common gynecological pathology, in which endometrial tissue is found outside the uterus, usually in the ovaries, fallopian tubes, utero-sacral ligaments and bladder. Depending on the location of the abnormal endometrial tissue, the symptoms are usually dysmenorrhea, menometrorrhagia, dyspareunia, dysuria, hematuria, recurrent pelvic pain during menstrual period. The recto-sigmoid junction as the only site where it can occur is a rare form of presentation. We present a rare case of recto-sigmoid endometriosis that caused acute large bowel obstruction in a 42-year-old female who have never had any specific symptoms of endometriosis.


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