Endometrioma. An intra-abdominal troublemaker

Keane TE, T E Keane, Thomas E. Keane, A L G Peel, A L Peel, Peel AL
Diseases of the colon and rectum · 1990 · vol. 33(11) , pp. 963–965 · doi:10.1007/bf02139106 · PMID:2226084 · W2326631764
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This ten-year review of nine endometrioma cases found that preoperative investigations were unhelpful and that endometriomas of the intestine require a high index of suspicion for diagnosis.

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This ten-year review examines seven cases of intestinal endometriomas and two cases of abdominal wall endometriomas, noting that most patients presented with varied symptoms including gynecologic complaints. The authors found that preoperative investigations were largely ineffective in establishing a diagnosis, necessitating surgery for confirmation, and identified coexisting inflammatory bowel disease in two instances. Furthermore, the study indicates that danazol is not an effective treatment option for these specific types of endometriomas. This paper is centrally about endometriosis — specifically focusing on the clinical presentation, diagnostic challenges, and treatment limitations associated with deep infiltrating endometriomas involving the intestine and abdominal wall.

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Abstract

A ten-year review of intestinal and abdominal wall endometriomas is reported. Seven cases of intestinal and two cases of abdominal wall endometriomas are presented. Symptoms were varied but a majority had some gynecologic complaint. In this select group of patients, preoperative investigations did not assist in establishing the diagnosis. All patients underwent surgery and coexisting inflammatory bowel disease was present in two patients. This review suggests that endometrioma of the intestine requires a high index of suspicion for diagnosis and that danazol does not appear to be effective treatment for these patients.
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Original Contributions: PDF Only Endometrioma An intra-abdominal troublemaker - T. E. Keane - A. L. G. Peel A ten-year review of intestinal and abdominal wall endometriomas is reported. Seven cases of intestinal and two cases of abdominal wall endometriomas are presented. Symptoms were varied but a majority had some gynecologic complaint. In this select group of patients, preoperative investigations did not assist in establishing the diagnosis. All patients underwent surgery and coexisting inflammatory bowel disease was present in two patients. This review suggests that endometrioma of the intestine requires a high index of suspicion for diagnosis and that danazol does not appear to be effective treatment for these patients. Copyright © The ASCRS 1990

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Neoplasms Endometriosis Intestinal Neoplasms Abdominal Neoplasms Abdominal Neoplasms Abdominal Neoplasms Abdominal Neoplasms Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Inflammatory Bowel Diseases Inflammatory Bowel Diseases Inflammatory Bowel Diseases

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (8)

Cited by (13)

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License: CC0 · commercial use OK