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[Intestinal endometriosis].

C Gubler

    Schweizerische Medizinische Wochenschrift
    |December 24, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Intestinal endometriosis can cause recurrent abdominal pain in women. Surgical resection is the recommended treatment, even with successful hormonal therapies, to address symptomatic fibromatous lesions.

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    Area of Science:

    • Gynecology
    • Gastroenterology
    • Surgical Oncology

    Background:

    • Endometriosis is a condition where uterine tissue grows outside the uterus.
    • Intestinal endometriosis is a less common manifestation, often presenting with non-specific symptoms.
    • Diagnosis can be challenging due to atypical clinical presentations.

    Observation:

    • Recurrent abdominal pain in women of reproductive and climacteric age can indicate intestinal endometriosis.
    • Rectal bleeding and cyclical correlation are uncommon symptoms.
    • Radiological investigations are primarily used to rule out other conditions like intestinal cancer.

    Findings:

    • Surgical resection is the definitive treatment for intestinal endometriosis.
    • While antigonadotropic therapy shows success, it does not resolve secondary fibromatous changes.

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  • Hormonal treatments may fail to address symptomatic fibrotic lesions that can arise later.

    • Implications:

    • Early surgical intervention may prevent long-term complications from fibromatous changes.
    • A high index of suspicion is needed for diagnosing intestinal endometriosis in women with unexplained abdominal pain.
    • Multidisciplinary management involving gynecologists and surgeons is crucial for optimal patient outcomes.