Laparoscopic excision of rectosigmoid endometriotic plaque and cul de sac obliteration in deeply infiltrating endometriosis: a case report

Georgios Fragulidis, F. V. Oreopulu, C. Sofoudis, E. Kalambokas, V. Koutoulidis, N. F. Vlahos
In: Clinical and Experimental Obstetrics & Gynecology · 2016 · vol. 43(3) , pp. 437–440 · doi:10.12891/ceog2099.2016 · W4244125957
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes the laparoscopic excision of rectovaginal septum endometriotic plaque and cul de sac obliteration in a 29-year-old patient with deeply infiltrating endometriosis and chronic pelvic pain.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper is a case report describing a 29-year-old patient with chronic pelvic pain and deeply infiltrating endometriosis (DIE) who underwent laparoscopic excision of an extensive endometriotic plaque involving the rectovaginal septum, along with management of disease causing cul-de-sac obliteration. At a high level, it focuses on the clinical presentation and the surgical approach for rectosigmoid/rectovaginal disease within the broader category of deep pelvic endometriosis. The main finding is the reported use of laparoscopic excision for the extensive plaque in the setting of DIE. The paper’s major limitation is that it is a single-patient report, without broader generalizable outcomes. This paper is centrally about endometriosis — it reports laparoscopic excision of a rectosigmoid/rectovaginal septum endometriotic plaque in deeply infiltrating endometriosis with cul-de-sac obliteration.

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Abstract

Endometriosis represents a main cause of infertility and pelvic pain affecting 3-43 % among reproductive age women. Deep pelvic endometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral ligaments, rectum, rectovaginal septum, vagina or bladder. The authors present a case of a 29-year-old patient who underwent laparoscopic excision of extensive endometriotic plaque in rectovaginal septum accompanied with deeply infiltrating endometriosis (DIE) and chronic pelvic pain (CPP).
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Abstract

Endometriosis represents a main cause of infertility and pelvic pain affecting 3-43 % among reproductive age women. Deep pelvic endometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral ligaments, rectum, rectovaginal septum, vagina or bladder. The authors present a case of a 29-year-old patient who underwent laparoscopic excision of extensive endometriotic plaque in rectovaginal septum accompanied with deeply infiltrating endometriosis (DIE) and chronic pelvic pain (CPP).

Keywords

- Endometriosis - Rectovaginal septum - Laparoscopy

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Condition tags

endometriosisdie_deep_infiltratingchronic_pelvic_paininfertility

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