Surgical treatment for colorectal endometriosis.

S H Bromberg, Sansom Henrique Bromberg, Jaques Waisberg, J Waisberg, Marcello Franco, M I Franco, C V Oliveira, C. V. R. Oliveira, Rafaela Lopes, R G Lopes, A C Godoy, Antônio Cláudio de Godoy
International surgery · 2000 · vol. 84(3) , pp. 234–8 · PMID:10533783 · W41350614
article OA: closed CC0 ⤵ 19 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study investigated surgical treatment for intestinal endometriosis in 10 patients, finding that extirpation of stenotic lesions and exeresis of parietal nodules are indicated, and suggesting suspicion in women with recurrent lower abdominal pain and intestinal symptoms.

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Abstract

The authors studied the surgical treatment of patients with intestinal endometriosis. A total of 10 patients, with a median age range of 43 years, underwent an operation. Cramp abdominal pain (100%), diarrhea (30%), constipation and enterorrhagia (20%) dominated the clinical picture. At the time of surgery, four patients presented intestinal obstructive symptoms. Five (50%) patients reported gynecological complaints. Four patients were infertile and five had prior surgical gynaecological events. Seven cases presented sigmoid involvement, and three had involvement of the cecal appendix. Pre-operative diagnosis was carried out in two patients only. Surgical indications were due to suspicion of cancer (4 patients), appendicitis (3 patients), diverticular disease (1 patient) and unmanageable pain (2 patients). The following procedures were performed: left colectomy (2 cases), rectosigmoidectomy (3 cases), sigmoidectomy (3 cases), colostomy (2 cases) and three appendicectomy cases associated with concomitant gynecological interventions. No postoperative complications or deaths were observed. The authors emphasize that intestinal stenotic lesions should be treated by means of extirpation while the parietal nodule should be treated by exeresis. Intestinal endometriosis should be suspected in cases of lower abdomen recurrent pain in premenopausal infertile women or with previous surgical, gynecological events associated with intestinal symptoms or distal colon stenosis.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Rectal Diseases Adult Colonic Diseases Endometriosis Female Humans Rectal Diseases Retrospective Studies Sigmoid Diseases Sigmoid Diseases

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (19)

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