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\begin{document}

\title{What is the cause of this sigmoid stricture in this 43yr old lady with a
3 year history of cyclical lower abdominal pain?}



\author[1]{Gerard Feeney}%
\author[2]{Eoin Slattery}%
\author[2]{Margaret Sheehan}%
\author[3]{myles joyce}%
\affil[1]{Affiliation not available}%
\affil[2]{Galway University Hospitals}%
\affil[3]{Galway University Hospital}%


\vspace{-1em}



  
  \date{May 26, 2024}


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\selectlanguage{english}
\begin{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.%
\end{abstract}%



\sloppy


\emph{Clinical Case Report Submission}

\textbf{Title Page}

\textbf{Title:} What is the cause of this sigmoid stricture in this 43yr
old lady with a 3 year history of lower abdominal pain?

\textbf{Authors:} G Feeney\textsuperscript{1}, E
Slattery\textsuperscript{2}, M Sheehan\textsuperscript{3}, M
Joyce\textsuperscript{1}.

\begin{enumerate}
\tightlist
\item
  Department of Surgery,
\item
  Department of Gastroenterology,
\item
  Department of Pathology, Galway University Hospital.
\end{enumerate}

\textbf{Contact Information:} Dr Gerard Feeney, Floor 2 Lambe Institute,
Galway University Hospital, Galway.

\textbf{E-Mail:}g.feeney3@outlook.com.

\textbf{Tel No.:} 091 542222

\textbf{Research Funding:} No funding was sourced for this article.

\textbf{Article Category:} Clinical Case Report

\textbf{Previous Communication to Society or Meeting:} None

G Feeney\textsuperscript{1}, E Slattery\textsuperscript{2}, M
Sheehan\textsuperscript{3}, M Joyce\textsuperscript{1}.

\begin{enumerate}
\tightlist
\item
  Department of Surgery, Galway University Hospital
\item
  Department of Gastroenterology, Galway University Hospital
\item
  Department of Pathology, Galway University Hospital.
\end{enumerate}

What is the cause of this sigmoid stricture in this 43yr old lady with a
3 year history of cyclical lower abdominal pain?

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.

\textbf{Keywords:} General Surgery, Gastroenterology and Hepatology,
Obstetrics and Gynaecology.

\textbf{Key Clinical Message}

In women who present with cyclical abdominal pain, endometriosis must be
considered. Significant strictures or radiological findings concerning
for neoplasm may precipitate the need for a segmental colectomy despite
a diagnosis of endometriosis.

\textbf{Author Contributions:} GF- Preparation and drafting of
manuscript. ES- Treating physician. Reviewed manuscript. MS-Consultant
Histopathologist who reviewed and provided histology images for
manuscript. Reviewed manuscript. MJ- Treating Surgeon. Senior Author of
manuscript. Reviewed and edited manuscript.

\textbf{Conflict of Interest:} None to declare.

\textbf{References:} N/A.\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/CT-Abdomen-Endometriosis/CT-Abdomen-Endometriosis}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Endometriosis-Low-and-High-Power/Endometriosis-Low-and-High-Power}

\end{center}
\end{figure}

\selectlanguage{english}
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\end{document}

