Komplikativer Verlauf bei Darmendometriose und Endometriose des Septum rectovaginale

Subscribe to RSS DOI: 10.1055/s-2004-821028 Georg Thieme Verlag KG Stuttgart · New York Komplikativer Verlauf bei Darmendometriose und Endometriose des Septum rectovaginale Complicative Course in a Patient with Bowel Endometriosis and Endometriosis of the Cul-de-SacPublication History Eingang Manuskript: 26. Februar 2004 Akzeptiert: 14. Mai 2004 Publication Date: 02 September 2004 (online) Zusammenfassung Zu den schwersten Formen der extragenitalen Endometriose gehört die Endometriose des Septum rectovaginale mit Darmbeteiligung. Eine Endometriose des Darms verursacht für die betroffenen Patientinnen deutliche Beschwerden. Neben einer Dysmenorrhö und Dyspareunie treten intestinale Symptome wie zyklusabhängige Obstipation, Darmblutungen oder eine schmerzhafte Defäkation auf. Anhand eines komplikativen Verlaufs wird die Problematik der chirurgischen Sanierung besprochen. Die chirurgische Therapie der Endometriose des Septum rectovaginale und des Douglas sollte in spezialisierten Zentren mit der Möglichkeit einer tiefen anterioren Darmresektion unter Uteruserhaltung durchgeführt werden, um Komplikationen zu vermeiden. Abstract Endometriosis of the bowel and cul-de-sac is rare, but difficult to treat. It is the cause of severe trouble to affected patients. In addition to dysmenorrhoea and dyspareunia intestinal symptoms like menstruation-correlated obstipation, painful defaecation and rectal bleeding may occur. On the basis of a case report of a complicated course the problem of surgical treatment will be discussed. Operative treatment should be done in specialised centres with experience in bowel surgery, especially in deep anterior rectal resection, to avoid complications. 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