Buttonhole ulceration and perforation of the rectum
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This paper examines buttonhole ulceration and perforation of the rectum, describing their causes, presentation, and management.
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Abstract
Three laparoscopies were performed with treatment of cul-de-sac endometriosis near the rectum Two patients had a subsequent laparotomy for rectal perforation. The bowel damage appears to have been from a combination of failure to appreciate the position of the bowel with anatomy distorted by endometriosis, dissecting into healthy tissue with a carbon dioxide laser, desiccating healthy tissue with bipolar electrosurgery, and thermal spread into healthy tissue from the desiccated endometriotic tissue. Gynecologists must be aware of this potential complication when treating endometriosis near the rectum.
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Cites (4)
- Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO<sub>2</sub> laser 1992
- Laparoscopic treatment of cul-de-sac obliteration secondary to retrocervical deep fibrotic endometriosis. 1991
- Laparoscopic en bloc resection for treatment of the obliterated cul-de-sac in endometriosis. 1992
- Laparoscopic and vaginal colpotomy for the excision of infiltrating cul-de-sac endometriosis. 1988
Cited by (2)
References (13)
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Cited by (2)
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- europepmc
- last seen: 2026-08-16T06:08:05.154520+00:00
- openalex
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- pubmed
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- unpaywall
- last seen: 2026-08-15T06:29:46.044917+00:00
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