Rectum, Rectosigmoid, and Sigmoid Endometriosis
Deep intestinal endometriosis involves nodules infiltrating at least the muscularis propria, with up to 50% of endometriotic patients potentially exhibiting intestinal involvement.
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This paper is a chapter reviewing deep intestinal endometriosis with emphasis on rectum, rectosigmoid, and sigmoid involvement, defining deep infiltrating endometriosis as nodules infiltrating at least the muscularis propria and noting that lesions extending to the bowel serosa with dense adhesions are not classified as DIE. It summarizes how frequently intestinal involvement occurs in endometriotic patients, citing that up to 50% may have intestinal involvement in reference group analyses during complex surgeries, and it discusses imaging approaches used to assess deep pelvic disease distribution and infiltration. A key limitation explicitly stated is that the chapter is a review and does not report new human or animal studies performed by the authors. Relevance to endometriosis: this chapter is directly about endometriosis, specifically deep intestinal endometriosis affecting the rectum, rectosigmoid, and sigmoid regions.
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