title: Bowel obstruction due to endometriosis in the rectovaginal septum.
abstract: It is very rare that endometriotic lesions in the rectovaginal septum cause ileus. We report a case of bowel obstruction due to endometriotic lesions in the rectovaginal septum in a 22-year-old woman whose barium enema presented with apple-core-like findings. Diagnostic and treatment modalities were discussed. Preoperative and postoperative gonadotropin-releasing hormone analog and aromatase inhibitor therapy promote relief of clinical symptoms, a reduction of tumor volume and a better approach to radical surgery.
authors.affiliation: Department of Obstetrics and Gynecology, Oita University Faculty of Medicine, Oita, Japan. takai@med.oita-u.ac.jp
authors.forename: N
authors.initials: N
authors.lastname: Takai
authors.forename: T
authors.initials: T
authors.lastname: Ueda
authors.forename: M
authors.initials: M
authors.lastname: Nishida
authors.forename: K
authors.initials: K
authors.lastname: Nasu
authors.forename: H
authors.initials: H
authors.lastname: Narahara
mesh_terms: D004715:Endometriosis / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012002:Rectal Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D055815:Young Adult