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Updated: May 28, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
07:20

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Published on: December 21, 2012

[Intestinal endometriosis].

Mahaut Leconte1, Bruno Borghese, Charles Chapron

  • 1AP-HP, hôpital Cochin, université Paris-Descartes, service de chirurgie digestive, hépatobiliaire et endocrinienne, 75679 Paris cedex 14, France. mahaut.leconte@cch.aphp.fr

Presse Medicale (Paris, France : 1983)
|October 22, 2011
PubMed
Summary
This summary is machine-generated.

Intestinal endometriosis affects 8-12% of women with endometriosis, causing pelvic pain and infertility. Surgical removal of lesions is the only cure, with hormonal therapy used for symptom management.

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Area of Science:

  • Gynecology
  • Gastroenterology
  • Surgical Oncology

Context:

  • Endometriosis affects 6-10% of women of reproductive age.
  • Intestinal endometriosis, characterized by muscularis infiltration, occurs in 8-12% of endometriosis cases.
  • Common sites include the rectum, sigmoid colon, and ileocecal junction.

Purpose:

  • To describe the characteristics, diagnosis, and management of intestinal endometriosis.
  • To highlight the association between intestinal endometriosis and deep infiltrating endometriosis.
  • To emphasize the challenges in diagnosis and treatment.

Summary:

  • Intestinal endometriosis is often associated with deep infiltrating endometriosis, a multifocal and aggressive form.
  • Symptoms are nonspecific but include cyclic pain exacerbation.
  • Diagnosis involves imaging like transvaginal ultrasonography, MRI, and CT scans.
  • Current treatment options include surgical excision of lesions and hormonal blockade of ovarian function.

Impact:

  • Improved understanding of intestinal endometriosis for better patient diagnosis and management.
  • Highlights the need for multidisciplinary approaches in treating complex endometriosis cases.
  • Informs clinical practice regarding diagnostic workup and treatment strategies for refractory pelvic pain and infertility.