Endometriosis of the Colon and Rectum: An Indication for Peroperative Coloscopy

A M Farinon, Attilio Maria Farinon, E Vadora
Endoscopy · 1980 · vol. 12(03) , pp. 136–139 · doi:10.1055/s-2007-1021730 · PMID:7379764 · W1976621181
article OA: closed CC0 ⤵ 15 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Peroperative coloscopy clarified differential diagnosis between endometriosis and cancer in three patients with colonic strictures by revealing extrinsic compression and enabling conservative treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

The paper reports three cases of colorectal endometriosis in women who had no intestinal symptoms, where intraoperative findings of thickened and stricturing lesions in the colon and rectum looked like cancer and created major differential diagnostic and treatment-selection challenges. The authors describe using peroperative (intraoperative) colonoscopy to assess these lesions, finding extrinsic compression of the bowel wall while maintaining an intact mucosa. Based on this endoscopic pattern, conservative management was carried out in all three cases. This paper is centrally about endometriosis—specifically endometriosis of the colon and rectum and the role of peroperative colonoscopy in distinguishing it from malignancy during surgery.

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Abstract

Endometriosis in women is a frequent disease and not uncommon is the implant of ectopic endometrium in the colon and rectum. In the present study three cases are reported without intestinal symptoms related to endometriosis, in which the intraoperative findings of thickened and stricturing areas of the colon and rectum--generally attached to the posterior portion of the uterus and presenting the aspects of a cancer--caused serious differential diagnostic problems, and made the choice of treatment difficult. These problems were solved by peroperative coloscopy that, revealing an extrinsic compression of the colonic and rectal wall in the presence of an intact mucosa, indicated the conservative treatment of the lesions in all three cases.
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Subscribe to RSS DOI: 10.1055/s-2007-1021730 Endometriosis of the Colon and Rectum: An Indication for Peroperative Coloscopy Publication History Publication Date: 17 March 2008 (online) Summary Endometriosis in women is a frequent disease and not uncommon is the implant of ectopic endometrium in the colon and rectum. In the present study three cases are reported without intestinal symptoms related to endometriosis, in which the intraoperative findings of thickened and stricturing areas of the colon and rectum - generally attached to the posterior portion of the uterus and presenting the aspects of a cancer - caused serious differential diagnostic problems, and made the choice of treatment difficult. These problems were solved by peroperative coloscopy that, revealing an extrinsic compression of the colonic and rectal wall in the presence of an intact mucosa, indicated the conservative treatment of the lesions in all three cases. Key words: Peroperative coloscopy - Endometriosis of colon and rectum

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Colonic Neoplasms Endometriosis Endoscopy Rectal Neoplasms Adult Colon Colon Colonic Neoplasms Colonic Neoplasms Colonic Neoplasms Endometriosis Endometriosis Endometriosis Female Humans Preoperative Care Rectal Neoplasms Rectal Neoplasms Rectal Neoplasms Rectum

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.

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