Endometriosis of the colon. Its diagnosis and management
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This retrospective study examined nine patients with colonic endometriosis, highlighting diagnostic challenges and finding surgical resection to be the best management for symptom relief.
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Abstract
Cases of endometriosis of the colon were examined in a retrospective fashion to illustrate the problems in diagnosis and management of this disease entity. Nine patients were identified from 1956 to 1988; their average age was 41 years. Common presenting symptoms were abdominal pain, diarrhea, constipation, tenesmus, small caliber stools, abdominal distention, and blood per rectum. Bowel symptoms were cyclic in four of the nine patients, and seven had a history of gynecologic complaints. Barium enema was performed in six patients and endoscopy in five patients. All cases involved the sigmoid or rectosigmoid colon. In no case was the diagnosis established endoscopically. Surgical procedures included resection with primary anastomosis (6 patients), and resection with sigmoid endcolostomy and Hartmann's pouch (3 patients). In only one case was full-thickness colonic wall involvement noted. One patient had an adenocarcinoma of the colon adjacent to the area of endometriosis. Our data indicate that the diagnosis of endometriosis of the colon should be considered in women with colonic symptoms, especially with an associated history of dysmenorrhea or cyclic changes in bowel habits. Surgical resection offers the best chance for relief of symptoms.
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Cited by (43)
- Combined Transvaginal/Transabdominal Pelvic Ultrasonography Accurately Predicts the 3 Dimensions of Deep Infiltrating Bowel Endometriosis Measured after Surgery: A Prospective Study in a Specialized Center 2018
- Feasibility and Safety of Laparoscopic-Assisted Bowel Segmental Resection for Deep Infiltrating Endometriosis: A Retrospective Cohort Study With Description of Technique 2015
- Impacts de la chirurgie sur la sexualité des patientes souffrant d'endométriose pelvienne profonde sévère 2015
- Rectal endometriosis--rare case of intestinal obstruction. Case report 2013
- Effect of laparoscopic surgery for moderate and severe endometriosis on depression, relationship satisfaction and sexual functioning: comparison of patients with and without bowel resection 2013
- Clinical outcome after radical excision of moderate-severe endometriosis with or without bowel resection and reanastomosis: a prospective cohort study 2013
- Clinical outcome after laparoscopic radical excision of endometriosis and laparoscopic segmental bowel resection 2012
- Intestinal occlusion caused by endometriosis of the sigmoid colon 2012
- Etude phénotypique des cellules endométriosiques profondes 2012
- Surgical Considerations in Colorectal Endometriosis 2012
- Clinical outcome after CO₂ laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis 2011
- Deeply infiltrating endometriosis of the sigmoid and lymph nodes simulating obstructive neoplasm 2010
- Laparoscopic excision of rectovaginal endometriosis: report of a prospective study and review of the literature 2009
- Colonic endometriosis mimicking colon cancer on a virtual colonoscopy study: a potential pitfall in diagnosis 2009
- Postmenopausal intestinal obstructive endometriosis: case report and review of the literature 2008
- Double-contrast barium enema and transrectal endoscopic ultrasonography in the diagnosis of intestinal deeply infiltrating endometriosis 2008
- [Double-contrast barium enema in the diagnosis of intestinal deeply infiltrating endometriosis] 2008
- Endometriosis in postmenopausal women without previous hormonal therapy: report of three cases 2008
- Ileocolic intussusception due to endometriosis 2007
- [Digestive endometriosis of the caecum and intussusception: about one case] 2007
- Endometrioma of the large bowel 2007
- Laparoscopic colorectal resection for endometriosis 2005
- "Endometriose do trato gastrointestinal: correlações clínicas e laparoscópicas; papel da corrida dos órgãos peritoneais na endometriose (COPE)" 2005
- Acute appendicitis or something else? A case report of cecal endometriosis in emergency setting 2005
- Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis 2004
- Evidence for asymmetric distribution of lower intestinal tract endometriosis 2004
- Endometrioid carcinoma of the sigmoid colon 2003
- Sigmoid endometriosis in a postmenopausal woman 2002
- Endometriosis causing cyclic compression of the right external iliac vein with cyclic edema of the right leg and thigh 2002
- Endoanal sonography in the assessment of perianal endometriosis with external anal sphincter involvement 2002
- Rectal passage of intestinal endometriosis 2001
- Use of the CEEA stapler to avoid ultra-low segmental resection of a full-thickness rectal endometriotic nodule 2001
- Obstrucción de colon secundaria a endometriosis rectal intraluminal: Informe de un caso Obstruction of the colon secondary to intraluminal rectal endometriosis: Report on one case 2001
- [Colorectal endometriosis. Diagnosis and management] 2001
- Crohn's disease mimicking as bowel endometriosis. Are the symptoms reduced by nafarelin acetate? 2000
- MRI facilitated a diagnosis of endometriosis of the rectum 2000
- Endometriosis recti — Wertigkeit der Endosonographie in der präoperativen Diagnostik 1998
- Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis 1998
- Endoluminal ultrasound diagnosis and operative management of rectal endometriosis 1997
- Endometriosis as a cause of colonic obstruction 1996
- Mucosal changes in the large bowel with endometriosis: a possible cause of misdiagnosis of colitis? 1994
- Aggressive surgical management for advanced colorectal endometriosis 1994
- Endoscopic diagnosis of colonic endometriosis 1992
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