[Pelvic endometriosis with urinary and digestive involvement. Apropos of 7 cases].
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, rectosigmoïdoscopy 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, endoprothetic 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.
Godlewski
G
G
Département de Chirurgie Digestive, C.H.R.U. de Nîmes, Hôpital Caremeau.
Rouanet
J P
JP
Mares
P
P
Maubon
A
A
Louis
J F
JF
Delbos
O
O
D000328:Adult; D003613:Danazol / Q000627:therapeutic use; D004715:Endometriosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008597:Menstrual Cycle; D010388:Pelvis; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000628:therapy; D012811:Sigmoid Neoplasms / Q000175:diagnosis* / Q000628:therapy; D014463:Ultrasonography; D014516:Ureteral Neoplasms / Q000175:diagnosis* / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000628:therapy
D003613:Danazol
Endométriose pelvienne de localisation urinaire et digestive. A propos de sept observations.