Diagnosis and managemnet of endometriosis of the colon and rectum |
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Authors: | Dr Bruce Graham MD W Patrick Mazier MD |
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Institution: | (1) Ferguson Hospital, Grand Rapids, Michigan;(2) 16013 Riggs Street Stanley, 66223 Kansas |
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Abstract: | Colon and rectal endometriosis is a relatively rare entity that may have a wide array of clinical symptomatology and radiographic
findings. Thirty-two patients with a diagnosis of colon or rectal endometriosis were seen and treated at the Ferguson Clinic
between 1960 and 1986. Diagnostic, pathologic, and therapeutic findings were reviewed. All patients, except one, had large-bowel
symptoms. Ten patients had previous histories of pelvic endometriosis. When endometriosis in the colon causes significant
symptoms or a neoplasm cannot be ruled out, partial colectomy is recommended. If pelvic endometriosis is extensive, removal
of the endometriomas and reproductive organs should be entertained concurrent with bowel resection. Hormonal manipulation
may be attempted in certain select patients with very close follow-up.
Read at the meeting of the American Society of Colon and Rectal Surgeons, Washington, D.C., April 5 to 10, 1987. |
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Keywords: | Endometriosis |
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