Intestinal endometriosis. Our experience

Ángela Sánchez Cifuentes, María Fe Candel Arenas, Antonio Albarracín Marín-Blázquez
Revista espanola de enfermedades digestivas · 2016 · vol. 108(8) , pp. 524–5 · doi:10.17235/reed.2016.4292/2016 · PMID:27022815 · W2412369661
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective study reports on the surgical management of 17 cases of intestinal endometriosis, a condition characterized by ectopic endometrial tissue infiltrating the bowel, most commonly the rectosigmoid colon.

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This letter describes intestinal endometriosis as bowel infiltration by ectopic endometrial tissue and reports the authors’ experience with 17 patients diagnosed with intestinal endometriosis at their hospital between 2006 and 2015. The paper summarizes high-level epidemiology and typical presentation, noting that intestinal involvement is often asymptomatic or nonspecific and may be discovered during surgery for other indications, with rectosigmoid colon being the most frequent location. It states that diagnosis relies on clinical history, physical examination, and imaging techniques, and that laparotomy and laparoscopy are described as equally effective, though laparoscopy is preferred; a key caveat is that the report is a letter to the editor with limited methodological detail beyond the case series. This paper is centrally about endometriosis — it focuses on intestinal endometriosis and presents the authors’ 17-patient clinical experience.

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Abstract

Intestinal endometriosis is defined as a bowel infiltration by ectopic endometrial tissue. The prevalence is 3-37% of all women affected by endometriosis. Rectosigmoid colon is the most frequent location (70-93%), followed to ileocecal region, appendix and other colon and small bowel segments. Intestinal endometriosis usually is asymptomatic. Often it is only diagnosed during surgery for other reasons. The symptoms frequently are nonspecific, although it may appear as an acute abdominal pain. Clinical history, physical examination and image techniques are necessary for the diagnosis. The choice of the operative technique depends on the clinical presentation and on the fertility wishes of the patient. Laparotomy and laparoscopy are equally effective, but laparoscopic approach is preferred. We present 17 cases of patients from our Hospital diagnosed with intestinal endometriosis, from 2006 to 2015.
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Abstract

Intestinal endometriosis is defined as a bowel infiltration by ectopic endometrial tissue. The prevalence is 3-37% of all women affected by endometriosis. Rectosigmoid colon is the most frequent location (70-93%), followed to ileocecal region, appendix and other colon and small bowel segments. Intestinal endometriosis usually is asymptomatic. Often it is only diagnosed during surgery for other reasons. The symptoms frequently are nonspecific, although it may appear as an acute abdominal pain. Clinical history, physical examination and image techniques are necessary for the diagnosis. The choice of the operative technique depends on the clinical presentation and on the fertility wishes of the patient. Laparotomy and laparoscopy are equally effective, but laparoscopic approach is preferred. We present 17 cases of patients from our Hospital diagnosed with intestinal endometriosis, from 2006 to 2015. New comment Comments No comments for this article

References

1. Durruty G, Larraín de la C. D, Cuello M, et al. Endometriosis profunda del tabique rectovaginal con compromiso intestinal: manejo quirúrgico con resección segmentaria de rectosigmoides. Rev Chil Obstet Ginecol 2008; 73: 192 – 203. 2. Bianchi A, Pulido L, Espín F, et al. Endometriosis intestinal. Estado actual. Cir Esp 2007;81:170-6 . 3. Milone M, Vignali A, Milone F, et al . Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications. World J Gastroenterol 2015 Dec 21; 21: 13345-51 4. Ruiz-Tovar J, Pina Hernández JD, Lobo Martínez E, et al. Endometriosis intestinal. Rev Esp Enferm Dig 2007; 99: 732-3 5. Ruiz Marín M, Parra Baños PA, González Valverde FM, et al. Appendiceal intussusception resulting from endometriosis presenting as acute appendicitis. Am Surg 2010;76:906-8 Related articles Letter Phytobezoar-induced intestinal obstruction relieved via enteroscopy DOI: 10.17235/reed.2024.10976/2024 Letter Clinical-histological correlation of various symptoms in the diagnosis of pediatric Crohn's disease DOI: 10.17235/reed.2024.10861/2024 Letter Eosinophilic gastroenteritis-induced intestinal obstruction DOI: 10.17235/reed.2024.10759/2024 Letter Small bowel obstruction — A rare complication after endoscopic transcecal appendectomy DOI: 10.17235/reed.2024.10474/2024 Digestive Diseases Image Colocolic intussusception by lipoma in the transverse colon. A cause of intestinal obstruction DOI: 10.17235/reed.2023.9690/2023 Letter DOI: 10.17235/reed.2023.9689/2023 Letter Unusual presentation of jejunal adenocarcinoma and ovarian metastasis DOI: 10.17235/reed.2023.9658/2023 Digestive Diseases Image Submucosal infiltrate of Anisakis larvae. A rare cause of intestinal obstruction DOI: 10.17235/reed.2023.9582/2023 Letter Intestinal obstruction secondary to Brunner’s glands hyperplasia DOI: 10.17235/reed.2023.9538/2023 Letter DOI: 10.17235/reed.2023.9394/2022 Digestive Diseases Image Cyclic hematochezia in a young woman with appendiceal endometriosis DOI: 10.17235/reed.2022.9257/2022 Letter DOI: 10.17235/reed.2022.8905/2022 Digestive Diseases Image DOI: 10.17235/reed.2022.8729/2022 Letter Ileal endometriosis in a patient with Crohn’s disease: a diagnostic challenge DOI: 10.17235/reed.2021.8187/2021 Letter Endometriosis-associated intestinal tumors: a new challenge in clinical practice DOI: 10.17235/reed.2021.8140/2021 Digestive Diseases Image Abdominal cocoon sign: an unusual cause of intestinal obstruction DOI: 10.17235/reed.2021.8057/2021 Letter DOI: 10.17235/reed.2020.7656/2020 Letter Appendicular invagination as a rare manifestation of endometriosis DOI: 10.17235/reed.2020.7002/2020 Letter DOI: 10.17235/reed.2020.6908/2020 Letter Laparoscopic management of a small bowel obstruction caused by an endometriotic focus DOI: 10.17235/reed.2019.6220/2019 Letter Aganglionic megacolon in the adult. Urgent and surprising cause of intestinal occlusion DOI: 10.17235/reed.2019.5922/2018 Letter DOI: 10.17235/reed.2018.5732/2018 Letter to the Editor Bowel obstruction secondary to deep infiltrating endometriosis of the ileum DOI: 10.17235/reed.2018.5364/2017 Letter to the Editor Hemorrhage and intestinal obstruction secondary to a Meckel’s diverticulum: a case report DOI: 10.17235/reed.2017.5219/2017 Letter to the Editor Ileocecal endometriosis as an infrequent cause of intussusception DOI: 10.17235/reed.2017.5183/2017 Original DOI: 10.17235/reed.2018.5077/2017 Digestive Diseases Image Letter to the Editor DOI: 10.17235/reed.2016.4393/2016 Case Report Hirschsprung disease with debut in adult age as acute intestinal obstruction: case report DOI: 10.17235/reed.2016.3841/2015 Digestive Diseases Image Citation tools Sánchez Cifuentes Á, Candel Arenas M, Albarracín Marín-Blázquez A. Intestinal endometriosis. Our experience. 4292/2016 Download the citation for this article by clicking on one of the following citation managers: Metrics Publication history Received: 29/02/2016 Accepted: 08/03/2016 Online First: 29/03/2016 Published: 29/07/2016 Article revision time: 3 days Article Online First time: 29 days Article editing time: 151 days Share This article hasn't been rated yet. Reader rating: Valora este artículo: Submit a manuscript Journal info Articles Submit a manuscript Journal info Articles Submit a manuscript The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva Cookie policy Privacy Policy Legal Notice © Copyright 2026 y Creative Commons. The Spanish Journal of Gastroenterology

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Diseases Adult Endometriosis Endometriosis Endometriosis Female Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Middle Aged Young Adult

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