Ileocecal endometriosis: clinical and pathogenetic implications of an underdiagnosed condition

Luigi Fedele, Nicola Berlanda, Corsi C, Carlo Corsi, Giacomo Gazzano, Martina Morini, Morini M, Paolo Vercellini
Fertility and sterility · 2014 · vol. 101(3) , pp. 750–753 · doi:10.1016/j.fertnstert.2013.11.126 · PMID:24424358 · W1981774485
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This paper discusses the clinical presentation and potential causes of ileocecal endometriosis, highlighting its underdiagnosis.

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Abstract

ObjectiveTo review our experience with surgical treatment of ileocecal endometriosis.DesignObservational study.SettingTertiary university hospital in Italy.Patient(s)Eight consecutive patients with infiltrating ileocecal endometriosis operated on between 2003 and 2005.Intervention(s)All of the women underwent laparotomic ileocecal or cecal resection and had radical treatment of rectovaginal endometriosis as well.Main outcome measure(s)Long-term relief of pelvic pain, constipation, and dyschezia.Result(s)There were no postoperative intestinal complications. At a mean ± SD follow-up of 106 ± 10 months, all of the patients reported significant improvement of pelvic pain and bowel symptoms.Conclusion(s)Infiltrating ileocecal endometriosis requiring bowel resection was associated in all cases with infiltrating rectovaginal endometriosis, possibly reflecting a common pathogenesis. A thorough clinical evaluation of women with rectovaginal endometriosis might allow an improvement in the difficult preoperative diagnosis of ileocecal endometriosis. Our data support the long-term efficacy of the radical surgical resection of associated ileocecal and rectovaginal endometriotic lesions in reducing pelvic pain, constipation, and dyschezia.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Cecum Endometriosis Endometriosis Ileum Pelvic Pain Pelvic Pain Adult Cecum Cecum Constipation Constipation Constipation Constipation Endometriosis Endometriosis Female Follow-Up Studies Humans Ileum Ileum

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (21)

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