THE MANAGEMENT OF ENDOMETRIOSIS OF THE LARGE INTESTINE

FLEMING WB, W. B. Fleming
The Australian and New Zealand journal of surgery · 1956 · vol. 26(2) , pp. 144–153 · doi:10.1111/j.1445-2197.1956.tb07181.x · PMID:13373695 · W2129055181
article OA: closed CC0 ⤵ 2 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This review of large intestinal endometriosis highlights its differential diagnosis from carcinoma, presenting cases and suggesting biopsy of suspected colonic carcinomata in young women, with treatment varying based on extent and patient age.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Summary 1. The current knowledge of endometriosis of the large bowel is reviewed, emphasizing the features assisting the differential diagnosis between this disease and carcinoma. 2. Attention is drawn to two ways in which endometriosis might involve the bowel: (a) as part of a generalized pelvic endometriosis when the diagnosis is often straightforward; (b)by producing a disc‐rete intestinal lesion when it is likely to be mistaken for carcinoma and extensive and unnecessary surgery undertaken to cure it. 3. This problem of diagnosis of the discrete lesion is illustrated by 5 case histories. 4. Endometriosis should be suspected if there is menstrual periodicity of symptoms. 5. It is shown that biopsy at operation of all apparent carcinomata of the colon in young women is justified to avoid errors in diagnosis. 6. In most patients it is found that pelvic endometriosis is extensive and requires treatment by hysterectomy and bilateral oophorectomy, irrespective of age. When the pelvic organs are intact it is believed an attempt should be made to conserve ovarian function in a young woman and to treat the lesion by resection. In older women one should avoid a dangerous resection and instead produce atrophy of the lesion by inducing an artificial menopause.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Disease Disease Management Endometriosis Intestine, Large Intestines Endometriosis Female Humans

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Cited by (2)

Source provenance

europepmc
last seen: 2026-08-13T06:15:24.848197+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-14T05:59:45.965652+00:00
License: CC0 · commercial use OK