Intestinal endometriosis: Clinical reflections

Besim Haluk Bacanakgıl, Emre Sinan Güngör, İşık Kaban, Gülşah İlhan, Serkan Sarı
In: Annals of Clinical and Analytical Medicine · 2021 · vol. 12(Suppl_03) , pp. 347–350 · doi:10.4328/acam.20779 · W4243735623
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study analyzed clinical, pathological, and radiological features of intestinal endometriosis in women, finding its incidence at 3.08% and a preference for the appendix, with difficult preoperative diagnosis and a recurrence rate of 10.5% over 19.8 months.

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Abstract

In this study aimed to analyze clinical, pathologic and radiological features of intestinal endometriosis in women and evaluate the recurrence and complications after surgery. Material and Methods: Intestinal endometriosis was screened retrospectively in the histopathology reports of female patients who were operated in general surgery and gynecology-obstetrics clinics. Demographic characteristics of the patients, complaints at hospital admission, physical examination findings, laboratory and radiological imaging results were assessed. Surgical indications, surgical procedures, pathology results, follow-up period, complications and recurrence were documented and analyzed. Results: The incidence of intestinal endometriosis (appendix, ileum, rectosigmoid) was 3.08%. Endometriosis was most common in the appendix (72%). The mean age of the patients was 419.9 years. The most common symptoms were lower abdominal pain (96%) and nausea (80%). Preoperative leukocytosis was present in 68% of the patients. Computed tomography (CT) was performed in 17 patients, and colonoscopy was performed in 2 patients. Among them, only 4 patients had findings suggestive of endometriosis (rectosigmoid localization). Surgical interventions applied to the patients were appendectomy, hysterectomy, ovarian cystectomy, terminal ileum resection and rectosigmoid low anterior resection. The most common condition was the coexistence of endometriosis and appendicitis. The mean follow-up period was 19.8 months. During this period, endometrioma developed in 2 cases and rectal bleeding in 1 case. Discussion: According to our 15 years findings, intestinal endometriosis is most common in the appendix. Preoperative diagnosis is difficult as intestinal endometriosis may present with a variety of symptoms and conditions (acute/chronic). Most of our cases applied with urgent symptoms and findings. Symptoms were non-specific. The value of CT and colonoscopy in diagnosis is limited. Although it is not seen frequently, it should be considered, especially in cases with pelvic pain and lower abdominal discomfort, and the general surgeon and gynecologist should work together.

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Condition tags

endometriosisendometrioma

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