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What is the cause of this sigmoid stricture in this 43yr old lady with a 3 year history of cyclical lower abdominal pain?
  • +1
  • Gerard Feeney,
  • Eoin Slattery,
  • Margaret Sheehan,
  • myles joyce
Gerard Feeney
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Eoin Slattery
Galway University Hospitals
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Margaret Sheehan
Galway University Hospitals
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myles joyce
Galway University Hospital
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Abstract

CT Colonography was performed after difficulty passing the stricture at colonoscopy. On imaging, the stricture was concerning for neoplasm (Fig 1). The patient underwent a segmental colectomy with histological analysis of the stricture demonstrating endometrial tissue(Fig 2.). The cause of abdominal pain was therefore secondary to extrapelvic endometriosis.