PERFORATION OF RECTUM DUE TO ENDOMETRIOSIS

Yoshiro Hamada, Shiyoichi Aiba, H. Shiozaki, Hiroshi Matsumoto, Katumasa Uehara, Toshiro Ikeya, Toshiyuki Hirai
In: The KITAKANTO Medical Journal · 1988 · vol. 38(6) , pp. 539–542 · doi:10.2974/kmj1951.38.539 · W2323937188
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This report details a rare case of rectal perforation caused by endometriosis in a 41-year-old woman, confirmed by microscopic examination of resected colon tissue.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports a 41-year-old woman with a ruptured rectum attributed to endometriosis. During surgery, the initial suspicion of a perforated appendix was replaced by findings of rectal rupture and a solid tumor distal to the rectum, leading to resection of the affected colon with a proximal colostomy and closure of the distal bowel end. Microscopic examination demonstrated endometrial gland structures in the submucosal and muscular layers, and the patient later underwent end-to-end anastomosis four months afterward, with good physical condition reported. The paper states that intestinal endometriosis is rare and, to the authors’ knowledge, rectal perforation due to it had not been previously reported. This paper is centrally about endometriosis — it documents a case of rectal perforation caused by intestinal endometriosis with histologic confirmation.

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Abstract

The case of 41-year old woman with a ruptured rectum due to endometriosis is reported. A perforated appendix was initially suspected but rupture of the rectum and a solid tumor distal to it was found during surgery. The surgical procedure include resection of the affected colon, proximal colostomy and closure of the distal end of the bowel. Microscopic examination revealed endometrial gland structure in the submucosal and muscular layers. The patient received an end-to-end anastomosis 4 months later and currently in good physical condition. Intestinal endometriosis is thought to be a rare disease and to our knowledge a perforation due to it has not been reported previously.
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PERFORATION OF RECTUM DUE TO ENDOMETRIOSIS 1988 Volume 38 Issue 6 Pages 539-542 Details Abstract The case of 41-year old woman with a ruptured rectum due to endometriosis is reported. A perforated appendix was initially suspected but rupture of the rectum and a solid tumor distal to it was found during surgery. The surgical procedure include resection of the affected colon, proximal colostomy and closure of the distal end of the bowel. Microscopic examination revealed endometrial gland structure in the submucosal and muscular layers. The patient received an end-to-end anastomosis 4 months later and currently in good physical condition. Intestinal endometriosis is thought to be a rare disease and to our knowledge a perforation due to it has not been reported previously. © The Kitakanto Medical Society Favorites & Alerts Recently viewed articles Successor

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endometriosis

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