Endometriosis of the recto-vaginal septum treated by anterior resection

T F Chen, Chen TF, D Stjohn Collier, StJohn Collier D, W G Everett, Everett WG, Dixon AK, A K Dixon, Adrian K. Dixon
Annales chirurgiae et gynaecologiae · 1989 · vol. 78(4) , pp. 324–6 · PMID:2624408 · W105569323
Case report OA: closed CC0 ⤵ 7 in-corpus citations
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Two young women with severe, medically-refractory recto-vaginal endometriosis underwent anterior resection of the rectum and vagina, achieving asymptomatic recovery with normal bowel function six months post-operatively.

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Abstract

Two young nulliparous females with severe symptomatic recto-vaginal endometriosis that had not responded to medical treatment were considered for surgery. Pre-operatively they were investigated by laparoscopy and Magnetic Resonance Imaging (M.R.I.) which demonstrated that the lesions were confined to the recto-vaginal septum with no intraperitoneal involvement. Both patients underwent resection of the middle third of the rectum and part of the posterior wall of the vagina with preservation of the ovaries, uterus and fallopian tubes. In one patient a J-colonic pouch with colo-anal anastomosis was fashioned and in the other patient a stapled colo-rectal anastomosis. Both patients are now asymptomatic with normal bowel function six months post-operatively. Radical surgery is indicated very rarely. We believe it should be considered in young nulliparous women who wish to conceive, in whom the diagnosis has been confirmed histologically and who have severe symptoms. M.R.I. is a useful pre-operative investigation to delineate the extent of the disease.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Rectal Neoplasms Vaginal Neoplasms Adult Adult Anal Canal Anal Canal Anal Canal Anastomosis, Surgical Anastomosis, Surgical Colon Colon Colon Endometriosis Endometriosis Female Female Humans Humans Rectal Neoplasms

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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