Diagnosis and treatment of deep infiltrating endometriosis with bowel involvement: A case report

Radmila Sparić, Gernot Hudelist, Hudelist G, J. Keckstein, Joerg Keckstein
Srpski arhiv za celokupno lekarstvo · 2011 · vol. 139(7-8) , pp. 531–535 · doi:10.2298/sarh1108531s · PMID:21980668 · W1994295575
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report demonstrates the successful laparoscopic treatment of deep infiltrating endometriosis with bowel involvement, highlighting transvaginal sonography's role in diagnosis and a multidisciplinary approach for optimal patient care.

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This 2011 case report describes a patient diagnosed with deep infiltrating endometriosis involving the bowel, using transvaginal ultrasound for preoperative detection, with diagnosis supported by laparoscopy and histological confirmation. The authors report treatment with minimally invasive radical surgery that included segmental bowel resection. They conclude that transvaginal sonography is important for detecting deep pelvic disease and that fertility-sparing surgery is preferred in symptomatic women wishing to retain fertility, while noting that surgical success depends on the accuracy of preoperative diagnosis and that management requires a multidisciplinary team. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis with bowel involvement and its diagnosis and laparoscopic surgical treatment.

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Abstract

INTRODUCTION: Deep infiltrating endometriosis is a form of endometriosis penetrating deeply under the peritoneal surface causing pain and infertility. Assessment of the pelvis by laparoscopy and histological confirmation of the disease is considered the golden standard of diagnosis. CASE OUTLINE: We are presenting a patient diagnosed with deep infiltrating endometriosis by transvaginal ultrasound and treated with minimally invasive radical surgery including segmental resection of the bowel. CONCLUSION: Transvaginal sonography has an important role in detecting deep endometriosis of the pelvis. Fertility sparing surgery is the treatment of choice in symptomatic women wishing to retain fertility, since drugs used for endometriosis interfere with ovulation.The success of the surgery depends on the accuracy of the preoperative diagnosis. A multidisciplinary approach in managing deep endometriosis is mandatory in order to offer patients the best possible treatment using the combined skills of the colorectal and gynaecologic surgical teams. The presented case exhibits the feasibility of laparoscopic approach to severe pelvic endometriosis with bowel involvement.
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Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 7-8, Pages: 531-535 Diagnosis and treatment of deep infiltrating endometriosis with bowel involvement: A case report Sparić Radmila (Klinika za ginekologiju i akušerstvo, Klinički centar Srbije, Beograd) Introduction. Deep infiltrating endometriosis is a form of endometriosis penetrating deeply under the peritoneal surface causing pain and infertility. Assessment of the pelvis by laparoscopy and histological confirmation of the disease is considered the golden standard of diagnosis. Case Outline. We are presenting a patient diagnosed with deep infiltrating endometriosis by transvaginal ultrasound and treated with minimally invasive radical surgery including segmental resection of the bowel. Conclusion. Transvaginal sonography has an important role in detecting deep endometriosis of the pelvis. Fertility sparing surgery is the treatment of choice in symptomatic women wishing to retain fertility, since drugs used for endometriosis interfere with ovulation. The success of the surgery depends on the accuracy of the preoperative diagnosis. A multidisciplinary approach in managing deep endometriosis is mandatory in order to offer patients the best possible treatment using the combined skills of the colorectal and gynaecologic surgical teams. The presented case exhibits the feasibility of laparoscopic approach to severe pelvic endometriosis with bowel involvement. Keywords: deep endometriosis, diagnosis, treatment, surgery, laparoscopy https://doi.org/10.2298/SARH1108531S Full text ( 220 KB) Cited by Hudelist Gernot (Odeljenje za ginekologiju i akušerstvo, Centar za endometriozu, Opšta bolnica, Vilah, Austrija) Keckstein Joerg (Odeljenje za ginekologiju i akušerstvo, Centar za endometriozu, Opšta bolnica, Vilah, Austrija)

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Condition tags

endometriosisdie_deep_infiltratinginfertility

MeSH descriptors

Endometriosis Rectal Diseases Adult Endometriosis Endometriosis Female Humans Rectal Diseases Rectal Diseases

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