Clinical analysis of 16 cases with rectal endometriosis

Objective To summarize the clinical experience of rectal endometriosis(RE) and evaluate its surgical procedures. Methods Clinical data of 16 cases with rectal endometriosis from 1991 to 2001 were analyzed retrospectively. Results Three cases presented with typical hematochezia during menstrual period. Two cases were misdiagnosed as rectal tumors. 6 cases were confirmed by laparoscopy. 75%of rectal lesions were located 7～9 cm above the anal edge. Local resection was performed in 6 cases, and Dixons operation in 10 cases. Conclusions Attention should be paid to rectal endometriosis when pelvic endometriosis is established.Laparoscopy and intrarectal ultrasonography are useful techniques for diagnosis.Dixons operation is an effective method to cure RE and reduce recurrence. Using stapler possesses advantages of simple procedure, spending less time and few complications.