A CASE OF ENDOMETRIOSIS OF THE RECTUM SUCCESSFULLY TREATED WITH PREOPERATIVE HORMONE THERAPY

Shinsuke Sato, Yosuke Uchida, Noritaka Sakai, Hiroshi Maekawa, Masahiko Sugano, Shuichi Sakamoto, Yuichi Tomiki, Kazuhiro Sakamoto, Noboru Mizobuchi, Toshiki Kamano, Masahiko Tsurumaru, Shu Hirai
In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 2000 · vol. 61(7) , pp. 1882–1887 · doi:10.3919/jjsa.61.1882 · W2323068884
article OA: bronze CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report describes successful treatment of rectal endometriosis with preoperative hormone therapy followed by surgical resection, leading to improved pelvic adhesions.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper reports a 31-year-old woman with endometriosis initially treated with effective hormone therapy, who later developed pain on defecation and left back pain during menstruation due to rectal involvement. After laparoscopic excision of ovarian cysts and subsequent colonoscopic and barium enema confirmation of rectal endometriosis, the authors considered that rectal stenosis might require surgery but used 5 months of preoperative LH-RH analog therapy (leuprorelin acetate) instead to reduce operative difficulty. Following hormone therapy, her pain on defecation resolved, and surgery with low anterior resection and partial left ureterectomy was performed; intraoperatively, pelvic adhesions were improved, suggesting a substantial effect of the preoperative regimen, while the authors noted recurrence was still possible. This paper is centrally about endometriosis — a case of rectal endometriosis managed with preoperative LH-RH analog hormone therapy to reduce adhesions and improve outcomes.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

A 31-year-old female had been diagnosed with endometriosis in 1996 and received hormone therapy for endometriosis, which was effective, but she began to notice pain on defecation and left back pain during menstruation in 1997. In December 1998, she entered our hospital and laparoscopic ovarian cyst excision was performed. The rectum, sigmoid colon, and left ovary were densely adherent and also strongly stuck to the Douglas pouch. After the operation, endometriosis of the rectum was diagnosed by colonoscopy and barium enema. Another operation was thought to be required because rectal stenosis was severe, but an operation at this point was predicted to be difficult, so preoperative hormone therapy with LH-RH analog (leuprorelin acetate, 3.75mg/month) was given for 5 months first. After hormone therapy, the patient did not complain of pain on defecation, but there was still a possibility of recurrence. On July 1, 1999, low anterior resection with partial left uretectomy was performed. Exploration of the peritoneal cavity showed improvement of pelvic adhesion that demonstrated a significant effect of preoperative hormone therapy.
Full text 1,365 characters · extracted from oa-doi-fallback · click to expand
A CASE OF ENDOMETRIOSIS OF THE RECTUM SUCCESSFULLY TREATED WITH PREOPERATIVE HORMONE THERAPY 2000 Volume 61 Issue 7 Pages 1882-1887 Details Abstract A 31-year-old female had been diagnosed with endometriosis in 1996 and received hormone therapy for endometriosis, which was effective, but she began to notice pain on defecation and left back pain during menstruation in 1997. In December 1998, she entered our hospital and laparoscopic ovarian cyst excision was performed. The rectum, sigmoid colon, and left ovary were densely adherent and also strongly stuck to the Douglas pouch. After the operation, endometriosis of the rectum was diagnosed by colonoscopy and barium enema. Another operation was thought to be required because rectal stenosis was severe, but an operation at this point was predicted to be difficult, so preoperative hormone therapy with LH-RH analog (leuprorelin acetate, 3.75mg/month) was given for 5 months first. After hormone therapy, the patient did not complain of pain on defecation, but there was still a possibility of recurrence. On July 1, 1999, low anterior resection with partial left uretectomy was performed. Exploration of the peritoneal cavity showed improvement of pelvic adhesion that demonstrated a significant effect of preoperative hormone therapy. © Japan Surgical Association Favorites & Alerts Recently viewed articles

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

Cited by (1)

References (3)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK