Tratamento Cirúrgico Minimamente Invasivo de Endometriose Cólica: um diagnóstico pré-operatório difícil Sigmoid colon endometriosis treated laparoscopically: a diffi cult preoperative diagnosis

Although rare, extrapelvic endometriosis in women of childbearing age can cause clinically signifi cant complications. Th e exact preva- lence is unknown but the most commonly involved sites are the rectosigmoid and the rectovaginal septum. Th e preoperative diagnosis may be diffi cult, due to the lack of pathognomonic symptoms and the poor performance of colonoscopy and colonic biopsies. We present a case of a 39-year-old woman with sigmoid endometriosis, in which the initial diagnostic workup showed the presence of sigmoid colon stenosis, suggesting colon cancer. Th e patient was selected for sigmoidectomy performed by minimally invasive surgery. Pathologic analysis of the ressected specime n