Intestinal endometriosis: Diagnostic ambiguities and surgical outcomes
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Abstract
BACKGROUND: Endometriosis is a common disease for women of reproductive age. However, when it involves intestines, it is difficult to diagnose preoperatively because its symptoms overlap with other diseases and the results of evaluations can be unspecific. Thus it is important to know the clinical characteristics of intestinal endometriosis and how to exactly diagnose. AIM: To analyze patients in whom intestinal endometriosis was diagnosed after surgical treatments, and to evaluate the clinical characteristics of preoperatively misdiagnosed cases. METHODS: We retrospectively reviewed the pathologic reports of 30 patients diagnosed as having intestinal endometriosis based on surgical specimens between January 2000 and December 2017. We reviewed their clinical characteristics and surgical outcomes. RESULTS: = 3, 10.0%). According to the Clavien-Dindo classification, 5 complications were grade I or II and 2 complications were grade IIIa. The median follow-up period was 26.9 (0.6-132.1) mo, and only 1 patient had a recurrence of endometriosis. CONCLUSION: Intestinal endometriosis is difficult to diagnose preoperatively because it mimics various intestinal diseases. Thus, if women of reproductive age have ambiguous symptoms and signs with nonspecific radiologic and/or endoscopic findings, intestinal endometriosis should be included in the differential diagnosis.
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Cited by (12)
- Gastrointestinal bleeding in deep infiltrative endometriosis 2026
- Endometriosis with colonic and rectal involvement: surgical approach and outcomes in 142 patients 2023
- Oclusión intestinal por endometriosis 2023
- An incidental infiltrating colonic lesion found during colonoscopy in a woman in her 30s 2022
- The intestinal deep-infiltration endometriosis: Three case reports and literature review 2022
- Clinical case of differential diagnosis of retrocervical endometriosis 2021
- Minimally invasive diagnosis of endometriosis 2021
- Endometriosis intestinal, una causa de suboclusión intestinal poco sospechada. Serie de casos 2021
- Analysis of the Diagnosis and Treatment of Rectal Endometriosis: A Case Report and Literature Review 2021
- Intestinal endometriosis: Clinical reflections 2021
- Imaging of gastrointestinal endometriosis: what the radiologist should know 2020
- Endometriosis MRI lexicon: consensus statement from the society of abdominal radiology endometriosis disease-focused panel 2019
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:22:54.901233+00:00
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