[Diagnosis and treatment of rectal and sigmoid endometriosis]

Verspyck E, E Verspyck, Éric Verspyck, Lefranc Jp, J P Lefranc, J Blondon, Blondon J
Annales de chirurgie · 1997 · vol. 51(10) , pp. 1106–10 · PMID:10868033 · W2417296325
Case report OA: closed CC0 ⤵ 8 in-corpus citations
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This study reports on six colorectal endometriosis resections, finding that rectosigmoid locations are common, hormonal therapy is ineffective for deep disease, and bowel resection is the required treatment.

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Abstract

From October 1989 to September 1994 six resections of the bowel were performed for colorectal endometriosis. Five of, the patients, with a mean age of 32 years, presented clinical features. In all cases, colonoscopy showed a normal mucosa. All patients treated by hormonetherapy relapsed. The resection was segmental with immediate end-to-end anastomosis in 5 cases and partial in 1 case. In three cases, endometriosis of the genital tract was associated and treated during the initial laparotomy. One low rectosigmoid anastomosis fistulised. Rectosigmoid endometriosis accounts for 70% of bowel localisations and genital endometriosis is associated in 80% of cases. Deep and clinical rectosigmoid endometriosis does not respond to hormonetherapy and requires bowel resection. The pelvis should be explored and genital tract endometriosis treated. Postoperative hormonetherapy should be considered after initial surgery.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Rectal Diseases Rectal Diseases Sigmoid Diseases Sigmoid Diseases Anastomosis, Surgical Anastomosis, Surgical Colectomy Colectomy Colectomy Colonoscopy Colonoscopy Endometriosis Endometriosis Endometriosis Female Female Humans Humans

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 ]

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License: CC0 · commercial use OK