Intestinal endometriosis: presentation, investigation, and surgical management

Iain Cameron, S. Rogers, Mick Collins, Malcolm Reed
In: International Journal of Colorectal Disease · 1995 · vol. 10(2) , pp. 83–86 · doi:10.1007/bf00341202 · W2064682419
review OA: closed CC0 ⤵ 77 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This study identified presenting features, investigation methods, and surgical management of 26 intestinal endometriosis cases, noting diagnostic difficulties and mimicry of other gastrointestinal diseases.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This study identified 26 cases of intestinal endometriosis over 14 years and described their presenting features, investigation, and surgical management. The most common locations were the rectosigmoid region (11 cases), appendix (9), and ileocaecal region (6), with abdominal pain (20 cases) often accompanied by nausea/vomiting (12) or altered bowel habit (10), and other symptoms including rectal bleeding, bloating, and tenesmus. Endometriosis was not suspected preoperatively in any patients without a prior history, and accurate preoperative diagnosis was described as very difficult, with laparoscopy providing definite evidence prior to formal surgery. Colonic resections, small bowel resections, and appendicectomy were performed with resection of adjacent adherent structures, highlighting intestinal endometriosis’s tendency to mimic carcinoma and inflammatory bowel disease. This paper is centrally about endometriosis — specifically the presentation, investigation, and surgical management of intestinal endometriosis.

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endometriosis

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