Rectal endometriosis: predictive MRI signs for segmental bowel resection

Rousset, Pascal; Buisson, Guillaume; Lega, Jean‐Christophe; Charlot, M.; Gallice, Colin; Cotte, Eddy; Milot, Laurent; Golfier, François

doi:10.1007/s00330-020-07170-4

Cited by 15 publications

(6 citation statements)

References 51 publications

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“…[5] It is generally considered that symptoms such as intestinal obstruction and blood in the stool are indications for bowel resection. [6] Intraoperative application of ICG fluoroscopy helps to indicate endometriotic lesions and reduce damage to the normal intestine. It also allows the removal of visible lesions depending on the visualization site to reduce the recurrence rate after surgery.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of colonic endometriosis causing periodic abdominal pain and hematochezia: A case report

Zhang,

Jiang,

Mao

2023

Medicine

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Rationale: Endometriosis, a benign disease, has a malignant biological behavior and is highly prone to recurrence. Although gastrointestinal involvement is the most common site for extra-genital endometriosis, deep infiltrative endometriosis, which affects the mucosal layer, is very rare. Patient concerns: A 44-year-old woman with a 6-month history of recurring abdominal pain and Hematochezia. The patient visited several hospitals over the past six months and was suspected to have been diagnosed with a digestive disease, for which medication was ineffective, leading to a great deal of anxiety. Diagnoses: Colonic endometriosis. Interventions: After a thorough imaging evaluation and preoperative discussion, laparoscopic colonic endometriosis resection under indocyanine green indication was performed by gynecologists and gastroenterologists. Outcomes: After laparoscopic treatment, the patient's symptoms improved significantly, with occasional pain felt and no blood in the stool. Lessons: This case provides a rare example of sigmoid endometriosis causing periodic abdominal pain and Hematochezia. We report a clinical case to investigate the feasibility of an indocyanine green fluorescent contrast technique to guide the scope of surgery in laparoscopic deep infiltrative endometriosis surgery. In intestinal endometriosis surgery, indocyanine green fluoroscopy may indicate the lesion's precise localization.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of colonic endometriosis causing periodic abdominal pain and hematochezia: A case report

Zhang,

Jiang,

Mao

2023

Medicine

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“…Multiple imaging modalities have been applied to preoperative diagnose of DIE, transvaginal pelvic sonography (TVS) has been reported with a sensitivity and specificity of 71–98% and 92–100% respectively [ 17 ]. However, MRI signs can also be valuable in the preoperative diagnosis of rectal DIE and accurately predict the need for segmental resection [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive surgical treatment for obstructive rectal endometriosis: a case report and review of the literature

Miao

et al. 2022

BMC Women's Health

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Background Intestinal obstruction caused by endometriosis maybe easily misdiagnosed as a tumor or other occupying disease in emergency condition. How to deal with it depending on the clarity of the preoperative diagnosis and the experience of the surgeon. Case presentation A 47-year-old woman, admitted to our emergency service with abdominal pain and distension for 5 days, anal stop exhausting and defecating for 3 days. Based on imaging and laboratory examination, we made a preoperative diagnosis of rectal endometriosis probably. After 7 days of colon decompression with a intestinal obstruction catheter, an operation of laparoscopic partial rectal and sigmoid resection without protective stoma and total hysterectomy was performed successfully. The patient obtained a smooth postoperative course and doing well after 12-weeks follow up. Conclusions Obstruction caused by rectal endometriosis is very rare and easily overlooked by surgeon and gynecologist. Appropriate preoperative diagnosis and preoperative management can reduce the trauma and incidence of complications.

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“…Both the clinical severity and the accurate preoperative MRI estimation aid the surgeon in the decision-making process and selection of the correct surgical treatment. In a recent study, Rousset et al ( 8 ) compared the preoperative signs of rectal and pararectal endometriosis to establish better surgical management. In particular, the authors observed that segmental resection was required when the lesion thickness was ≥14 mm, the transversal axis was ≥22 mm, and the circumference was ≥3/8 radii (38%).…”

Section: Discussionmentioning

confidence: 99%

Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report

Buono

Micheli²,

Russo³

et al. 2022

Front. Surg.

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Endometriosis is a disease affecting approximately 10% of women of fertile age. A particular presentation is deep infiltrating endometriosis of the rectosigmoid colon with symptoms that can mimic an intestinal obstruction or neoplasm. We report the case of a 39-year-old woman with pelvic pain during the menstrual cycle and significant anemia who presented an ectopic endometrial tissue in correspondence of the rectum. Because of the thickness of the lesion the patient underwent a segmental laparoscopic colorectal resection with end-to-end anastomosis.

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Rectal endometriosis: predictive MRI signs for segmental bowel resection

Cited by 15 publications

References 51 publications

Laparoscopic treatment of colonic endometriosis causing periodic abdominal pain and hematochezia: A case report

Laparoscopic treatment of colonic endometriosis causing periodic abdominal pain and hematochezia: A case report

Comprehensive surgical treatment for obstructive rectal endometriosis: a case report and review of the literature

Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report

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