A Case of Recurrence of Severe Extensive Pelvic Endometriosis with Rectal Invasion

Takayoshi Kanda; Kazunori Miyazaki; Takashi Sano; Minoru Ueki

A Case of Recurrence of Severe Extensive Pelvic Endometriosis with Rectal Invasion

Takayoshi Kanda, Kazunori Miyazaki, Takashi Sano, Minoru Ueki

In: Sanfujinka no shimpo · 1980 · vol. 32(2) , pp. 157–162 · W2570069756

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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This paper describes a recurrent case of severe pelvic endometriosis with rectal invasion in a 28-year-old nulligravidous woman, which ultimately required hysterectomy and adnexectomy after conservative treatments failed.

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This paper reports a case of recurrent severe extensive pelvic endometriosis in a 28-year-old nulligravid woman who had already undergone two conservative operations, presenting with massive vaginal bleeding and severe lower abdominal pain attributed to rectal invasion. Despite receiving a 4000 mL blood transfusion and danazol therapy (800 mg/day) for one month, the condition could not be improved, and the authors concluded conservative treatment was not feasible because lesions occupied the whole pelvis with marked adhesions between the uterus and adjacent organs. They performed a hysterectomy with adnexectomy, finding endometriotic foci filling the cul-de-sac and growing into the rectal lumen with infiltrative growth through the rectal wall; histopathology showed benign endometriosis with dilated glands surrounded by decidua-like stroma without atrophy. This paper is centrally about endometriosis — a recurrent case of extensive pelvic disease with rectal invasion treated surgically.

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- Integration of CiNii Books functions for fiscal year 2025 has completed - Trial version of CiNii Research Knowledge Graph Search feature is available on CiNii Labs - 【Updated on November 26, 2025】Regarding the recording of “Research Data” and “Evidence Data” - Start the collection of all publicly IRDB content - Incorporate Research Data from KAKEN - - KANDA Takayoshi - 大阪医科大学産婦人科学教室 - - MIYAZAKI Kazunori - 大阪医科大学産婦人科学教室 - - SANO Takashi - 大阪医科大学産婦人科学教室 - - UEKI Minoru - 大阪医科大学産婦人科学教室 Bibliographic Information - Other Title - - 広汎な骨盤内浸潤を伴った再発エンドメトリオージス症例 - コウハンナコツバンナイシンジュンオトモナッタサイハツエンドメトリ - Published - 1980 - DOI - - 10.11437/sanpunosinpo1949.32.157 - Publisher - THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN Search this article Description This case was a 28-year-old nulligravidous woman with pelvic endometriosis, who had previously undergone two conservative operations.Her chief complaints were massive vaginal bleeding and severe lower abdominal pain, which were presumably caused by extensive endometriosis with rectal invasion.Little could be done to improve the condition despite a 4000ml blood transfusion and Danazol therapy (800mg/day) for one month.It was concluded that the disease was impossible to treat conservatively since the lesions occupied the whole pelvis with severe adhesion of the uterus to adjacent organs, so we performed a hysterectomy with adnexectomy.Endometriotic foci filled the cul-de-sac and grew in the rectal lumen polypously, infiltrating through the rectal wall. Histopathology of the lesions showed benign endometriosis of dilated glands surrounded by decidua-like-stroma without atrophy Journal - - ADVANCES IN OBSTETRICS AND GYNECOLOGY - ADVANCES IN OBSTETRICS AND GYNECOLOGY 32 (2), 157-162, 1980 THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN Details 詳細情報について - - CRID - 1390001204946193792 - - NII Article ID - 130004069488 - - NII Book ID - AN00099490 - - ISSN - 13476742 - 03708446 - - NDL BIB ID - 2211534 - - Text Lang - ja - - Data Source - - JaLC - NDL Search - CiNii Articles - - Abstract License Flag - Disallowed

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