Intestinal Endometriosis

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A sigmoidoscopy revealed dome-shaped swellings consistent with endometriomas in the sigmoid colon of a patient with previously diagnosed endometriosis, leading to surgical intervention after 5 years of medical treatment.

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This chapter describes a clinical course of intestinal endometriosis in a patient previously diagnosed with endometriosis and treated with ovarian cystectomy and laparoscopic pelvic surgery. In 1987, flexible sigmoidoscopy for chronic lower abdominal pain and constipation showed dome-shaped swellings in the sigmoid colon with normal mucosa, interpreted as endometriomas, followed by 5 years of medically supervised treatment until symptoms became sufficiently disabling for surgery. Repeat endoscopy found no extension of the colon lesions, and the lesions were not seen on barium enema. This paper is centrally about endometriosis — it focuses on diagnosis and clinical progression of intestinal (rectosigmoid) endometriosis as visualized endoscopically.

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Abstract

The diagnosis of endometriosis had been confirmed some years previously and been treated by ovarian cystectomy and laparoscopic pelvic surgery. In 1987, to investigate chronic lower abdominal pain and constipation, flexible sigmoidoscopy to the splenic flexure revealed dome shaped swellings (Figure 85.1), most obvious in the sigmoid colon, covered with normal mucosa, consistent with endometriomas. A gynecologist supervised a further 5 years of medical treatment until the symptoms were sufficiently disabling to require surgery. Repeat endoscopy showed no extension of the colon lesions, which did not show on a barium enema examination. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Case 85 Tran KTC, Kuijpers HC, Willemsen WNP, Bulten H. Surgical treatment of symptomatic rectosigmoid endometriosis. Eur. J. Surg. 1996;162:139–141. Macafee CHG, Greer HLH. Intestinal endometriosis: a report of 29 cases and a survey of the literature. J. Obstet. Gynaecol Br. Commonw. 1960;67:539–555. Woods RJ, Herior AG, Chen FC. Anterior wall excision for endometriosis using circular stapler. ANZ J. Surg. 2003;73:647–648. Jatan AK, Solomon MJ, Young J, Cooper M, Pathma-Nathan N. Laparoscopic management of rectal endometriosis. Dis. Colon Rectum 2005 Dec 8; [pub ahead of print]. Rights and permissions Copyright information © 2006 Springer Science+Business Media, Inc. About this chapter Cite this chapter (2006). Intestinal Endometriosis. In: Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/0-387-36941-4_85 Download citation DOI: https://doi.org/10.1007/0-387-36941-4_85 Publisher Name: Springer, New York, NY Print ISBN: 978-0-387-29081-2 Online ISBN: 978-0-387-36941-9 eBook Packages: MedicineMedicine (R0)

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Diseases Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Intestinal Neoplasms Intestinal Neoplasms

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