Endometriose

Peter Otto, Klaus Ewe
In: Atlas der Rectoskopie und Coloskopie · 1984 · pp. 62 · doi:10.1007/978-3-662-05879-4_19 · W4252419635
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Endometriosis typically protrudes the rectal mucosa without penetrating it, appearing as rare, sometimes bluish submucosal elevations that can bleed and require surgical excision.

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This chapter discusses how intestinal endometriosis in the rectum typically affects the rectal wall, emphasizing that lesions usually do not grow through the mucosa but instead bulge it outward, thereby narrowing the rectal lumen. It notes that endoscopic visualization of endometrial implants within the rectal mucosa is rare; when present, they appear as localized bulges that may show a bluish hue and can bleed during menstruation. The authors state that macroscopic differentiation from carcinoma is difficult and that histologically confirmed endometriosis should be excised. This paper is centrally about endometriosis — specifically the endoscopic and histologic features of rectal endometriosis and how it differs from cancer.

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Zusammenfassung Die Endometriose wächst in der Regel nicht durch die Mucosa hindurch, sondern wölbt sie lediglich vor und engt das Rectumlumen ein. Nur selten werden Versprengungen des Endometriums in die Rectumschleimhaut endoskopisch sichtbar. Es handelt sich um umschriebene Vorwölbungen, die eventuell bläulich durchschimmern und während der Menstruation bluten können. Makroskopisch ist die Differenzierung vom Carcinom schwierig. Die histologisch gesicherte Endometriose sollte chirurgisch excidiert werden. Chapter PDF Similar content being viewed by others Literatur Baerwald C, Hausman L (1979) Ileus bei Endometriose des Dickdarms. Med Klin 74:445 Boies RS, Hodes PI (1958) Endometriosis of the small an large intestine. Gastroenterology 34:367 Fabian W (1980) Das Endometrium des Rek-tosigmoids. Fortschr Med 98:102 Fahrländer H (1973) Seltene, nicht maligne Dickdarmerkrankungen. In: Demling L (Hrsg) Klinische Gastroenterologie. Thime, Stuttgart Hawthrone HR, Kimbrough RA, Davis HC Concomittant endometriosis and carcinoma of the rectosigmoid. Am J Obstet Gynecol 62:681 Hütteroth IH, Berger HG, Schnoy N, Eckhardt R, Meyer zum Büschenfelde KH (1981) Endometriose des terminalen Ileum, Differentialdiagnose zum Morbus Crohn. Z Gastroenterologie 19:178 Ottenjann R, Altaras J, Elster K, Harmanek P (1983) Atlas der Darmerkrankungen. Pharmazeutische Verlagsgesellschaft, München Röher HD (1973) Diagnostik der Dickdarm-Endometriose. Dtsch Med Wochenschr 98:1408 Röher HD, Grözinger KH (1973) Zur Klinischen Diagnostik und Therapie der Dick-darmendometriose. Med Welt 24:534 Author information Authors and Affiliations Rights and permissions Copyright information © 1984 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Otto, P., Ewe, K. (1984). Endometriose. In: Atlas der Rectoskopie und Coloskopie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05879-4_19 Download citation DOI: https://doi.org/10.1007/978-3-662-05879-4_19 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-05880-0 Online ISBN: 978-3-662-05879-4 eBook Packages: Springer Book Archive

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