Recto vaginal septum adenomyotic nodules: a series of 500 cases

Jacques Donnez, J Donnez, M Nisolle, Michelle Nisolle, Stéphane Gillerot, S Gillerot, Mireille Smets, M Smets, S Bassil, F Casanas-Roux, Françoise Casanas‐Roux
British journal of obstetrics and gynaecology · 1997 · vol. 104(9) , pp. 1014–1018 · doi:10.1111/j.1471-0528.1997.tb12059.x · PMID:9307527 · W1986664683
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Laparoscopic excision of 500 rectovaginal septum adenomyotic nodules resulted in pain relief and showed histological similarities to adenomyoma with distinct receptor content from eutopic endometrium.

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Abstract

OBJECTIVE: Laparoscopic procedure with excision of deep fibrotic endometriotic nodules of the rectovaginal septum and histological study of the lesions. SETTING: An academic teaching hospital. PARTICIPANTS: A series of 500 women undergoing laparoscopy for pelvic pain or infertility. RESULTS: Laparoscopic (n = 497) and laparotomic (n = 3) excision of endometriotic nodules resulted in considerable pain relief. Histologically the rectovaginal nodule was similar to an adenomyoma as it was a circumscribed nodular aggregate of smooth muscle and endometrial glands and stroma. The variations in oestrogen receptor and progesterone receptor content suggested a regulatory mechanism different from that of eutopic endometrium. CONCLUSION: This form of disease should be considered as an entity distinct from peritoneal and ovarian endometriosis, and originating from the Müllerian rests present in the rectovaginal septum.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Rectal Diseases Vaginal Diseases Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Laparoscopy Pelvic Inflammatory Disease Pelvic Inflammatory Disease Pelvic Inflammatory Disease Receptors, Estrogen Receptors, Estrogen Receptors, Progesterone Receptors, Progesterone Rectal Diseases

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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.

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Cited by (50)

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