Diagnosis and management of intestinal endometriosis. A report of five cases.
Five cases of intestinal endometriosis presented with infertility and pelvic pain. Rectal bleeding occurred in two patients and diarrhea in one. A diagnosis was achieved with a barium enema study and colonoscopy. All the patients had pelvic endometriosis as documented by laparoscopy. Endometriosis was present in the sigmoid colon in three patients and in the cecum in one; it was pericecal in the fifth. Bowel resection and pathologic study are necessary to relieve the symptoms and avoid neglecting a malignant tumor or other lesions.
Badawy
S Z
SZ
Department of Obstetrics and Gynecology, General State University of New York Health Science Center, Syracuse 13210.
Freedman
L
L
Numann
P
P
Bonaventura
M
M
Kim
S
S
D000328:Adult; D001063:Appendiceal Neoplasms / Q000175:diagnosis / Q000601:surgery; D002430:Cecal Neoplasms / Q000175:diagnosis / Q000601:surgery; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000175:diagnosis / Q000601:surgery