title: [Pelvic endometriosis of urinary and digestive sites. Apropos of 7 cases].
abstract: Seven cases of pelvic endometriosis of the urinary or digestive tracts are reported: 4 cases of vesical endometriosis, 1 case of ureteral involvement, 1 rectal case and 1 sigmoid location. The authors point out the difficulty of the clinical preoperative diagnosis--in despite of cyclic troubles--and underline the interest of complementary explorations performed at the time of periods: ultrasound, cystoscopy, rectosigmoidoscopy and coelioscopy. The MR imaging, showing high intensity a T1-weighted images and prominent high intensity on T2-weighted images, is very suggestive of an endometrial lesions. A joint medical and surgical treatment is required. Endoscopic excision, endoprosthetic tube, excision-suture, resection-anastomosis and a complementary medical treatment using Danazol. Decapeptyl or progestational agents have to be proposed. Per-operative microscopy is advised as routine procedure in order to avoid excessive surgery.
authors: Département de Chirurgie Digestive, CHRU de Nîmes, Hôpital Caremeau.
authors: G
authors: G
authors: Godlewski
authors: J P
authors: JP
authors: Rouanet
authors: P
authors: P
authors: Mares
authors: A
authors: A
authors: Maubon
authors: J F
authors: JF
authors: Louis
authors: O
authors: O
authors: Delbos
mesh_terms: D000328:Adult; D004067:Digestive System Neoplasms / Q000175:diagnosis* / Q000601:surgery; D004715:Endometriosis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000601:surgery; D012189:Retrospective Studies; D014571:Urologic Neoplasms / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Endométriose pelvienne de localisation urinaire et digestive. A propos de sept observations.