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Intestinal endometriosis: The great masquerader

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Abstract

Chronic symptoms of abdominal pain and irregular bowel habits in women evoke a broad differential diagnosis including irritable bowel syndrome, infection, malabsorption, and inflammatory bowel disease. Endometriosis, a common disorder in young women that can involve the intestinal tract, deserves consideration as well. Intestinal endometriosis is typically asymptomatic; however, when symptoms occur, they can mimic those of irritable bowel syndrome. Identifying intestinal endometriosis can be challenging, but historical points and key clinical features aid in diagnosis.

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References

  1. Ranney B: Etiology, prevention, and inhibition of endometriosis. Clin Obstet Gynecol 1980, 23:875–882.

    PubMed  CAS  Google Scholar 

  2. Williams TJ, Pratt JH: Endometriosis in 1,000 consecutive celiotomies: incidence and management. Am J Obstet Gynecol 1977, 129:245–250.

    PubMed  CAS  Google Scholar 

  3. Rawson JM: Prevalence of endometriosis in asymptomatic women. J Reprod Med 1991, 36:513–515.

    PubMed  CAS  Google Scholar 

  4. Prystowsky JB, Stryker SJ, Ujiki GT, Poticha SM: Gastrointestinal endometriosis: incidence and indications for resection. Arch Surg 1988, 123:855–858.

    PubMed  CAS  Google Scholar 

  5. Macafee CH, Greer HL: Intestinal endometriosis. J Obstet Gynaecol 1960, 67:539–555.

    CAS  Google Scholar 

  6. Halme J, Hammond MG, Hulka JF, et al.: Retrograde menstruation in healthy women and in patients with endometriosis. Obstet Gynecol 1984, 64:151–154.

    PubMed  CAS  Google Scholar 

  7. Clement PB: Pathology of endometriosis. Pathol Annu 1990, 25:245–295.

    PubMed  Google Scholar 

  8. Lessey BA, Metzger DA, Haney AF, McCarty KS Jr: Immunohistochemical analysis of estrogen and progesterone receptors in endometriosis: comparison with normal endometrium during the menstrual cycle and the effect of medical therapy. Fertil Steril 1989, 51:409–415.

    PubMed  CAS  Google Scholar 

  9. Levander G, Normann P: The pathogenesis of endometriosis: an experimental study. Acta Obstet Gynecol Scand 1955, 34:366–398.

    PubMed  CAS  Google Scholar 

  10. Merrill JA: Endometrial induction of endometriosis across millipore filters. Am J Obstet Gynecol 1966, 94:780–790.

    PubMed  CAS  Google Scholar 

  11. Dmowski WP, Steele RW, Baker GF: Deficient cellular immunity in endometriosis. Am J Obstet Gynecol 1981, 141:377–383.

    PubMed  CAS  Google Scholar 

  12. Badway SA, Guenca V, Stitzel A, et al.: Autoimmune phenomena in infertile patients with endometriosis. Obstet Gynecol 1984, 63:271–275.

    Google Scholar 

  13. Weed JC, Arquembourg PC: Endometriosis: Can it produce an autoimmune response resulting in infertility? Clinical Obstet Gynecol 1980, 23:885–893.

    CAS  Google Scholar 

  14. Dmowski WP, Gebel HM, Braun DP: The role of cell-mediated immunity in pathogenesis of endometriosis. Acta Obstet Gynecol Scand Suppl 1994, 159:7–14.

    PubMed  CAS  Google Scholar 

  15. Amano S, Yamada N: Endometrioid carcinoma arising from endometriosis of the sigmoid colon: a case report. Human Pathol 1981, 12:845–848.

    Article  CAS  Google Scholar 

  16. Simpson JL, Elias S, Malinak LR, Buttram VCJr: Heritable aspects of endometriosis. I. Genetic studies. Am J Obstet Gynecol 1980, 137:327–331.

    PubMed  CAS  Google Scholar 

  17. Huffman JW: Endometriosis in young teen-age girls. Pediatr Ann 1981, 10:44–49.

    PubMed  CAS  Google Scholar 

  18. Schrodt GR, Alcorn MO, Ibanez J: Endometriosis of the male urinary system: a case report. J Urol 1980, 124:722–723.

    PubMed  CAS  Google Scholar 

  19. Cramer DW, Wilson E, Stillman RJ, et al.: The relation of endometriosis to menstrual characteristics, smoking, and exercise. JAMA 1986, 255:1904–1908.

    Article  PubMed  CAS  Google Scholar 

  20. Zwas FR, Lyon DT: Endometriosis: an important condition in clinical gastroenterology. Digest Dis Sci 1991, 36:353–364.

    Article  PubMed  CAS  Google Scholar 

  21. Jubanyik KJ, Comite F: Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997, 24:411–440.

    Article  PubMed  CAS  Google Scholar 

  22. Coronado C, Franklin RR, Lotze EC, et al.: Surgical treatment of symptomatic colorectal endometriosis. Fertil Steril 1990, 53:411–416.

    PubMed  CAS  Google Scholar 

  23. Levitt MD, Hodby KJ, van Merwyk AJ, Glancy RJ: Cyclical rectal bleeding in colorectal endometriosis. Aust N Z J Surg 1989, 59:941–943.

    PubMed  CAS  Google Scholar 

  24. Clement PB: Perforation of the sigmoid colon during pregnancy: a rare complication of endometriosis: case report. Br J Obstetr Gynaecol 1977, 84:548–550.

    CAS  Google Scholar 

  25. Floberg J, Backdahl M, Silfersward C, Thomassen PA: Postpartum perforation of the colon due to endometriosis. Acta Obstet Gynecol Scand 1984, 63:183–184.

    Article  PubMed  CAS  Google Scholar 

  26. Goodman P, Raval B, Zimmerman G: Perforation of the colon due to endometriosis. Gastrointest Radiol 1990, 15:346–348.

    Article  PubMed  CAS  Google Scholar 

  27. Gini PC, Chukudebelu WO, Onuigbo WI: Perforation of the appendix during pregnancy: a rare complication of endometriosis: case report. Br J Obstet Gynaecol 1981, 88:456–458.

    PubMed  CAS  Google Scholar 

  28. Lea R, Whorwell PJ: Irritable bowel syndrome or endometriosis, or both? Eur J Gastroenterol Hepatol 2003, 15:1131–1133.

    Article  PubMed  CAS  Google Scholar 

  29. Whitehead WE, Cheskin LJ, Heller BR, et al.: Evidence for exacerbation of irritable bowel syndrome during menses. Gastroenterology 1990, 98:1485–1489.

    PubMed  CAS  Google Scholar 

  30. Bailey HR, Ott MT, Hartendorp P: Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum 1994, 37:747–753.

    Article  PubMed  CAS  Google Scholar 

  31. Woodward PJ, Sohaey R, Mezzetti TP Jr: Endometriosis: radiologic-pathologic correlation. Radiographics 2001, 21:193–216.

    PubMed  CAS  Google Scholar 

  32. Roseau G, Dumontier I, Palazzo L, et al.: Rectosigmoid endometriosis: endoscopic ultrasound features and clinical implications. Endoscopy 2000, 32:525–530. This retrospective study examined the appearance of rectosigmoid endometriosis on EUS and the impact of EUS findings on choice of resection method.

    Article  PubMed  CAS  Google Scholar 

  33. Bozdech JM: Endoscopic diagnosis of colonic endometriosis. Gastrointest Endosc 1992, 38:568–570.

    Article  PubMed  CAS  Google Scholar 

  34. Payne SP, Pace RF, Benjamin IS, Clark DM: Isolated endometriosis of the small bowel presenting as acute small bowel obstruction. Br J Clin Pract 1991, 45:57–58.

    PubMed  CAS  Google Scholar 

  35. D’Hooghe TM: Immunomodulators and aromatase inhibitors: Are they the next generation of treatment for endometriosis? Curr Opin Obstet Gynecol 2003, 15:243–249. Overview of current treatment and promising new hormonal and nonhormonal treatment of endometriosis.

    Article  PubMed  Google Scholar 

  36. Kettel LM, Hummel WP: Modern medical management of endometriosis. Obstet Gynecol Clin North Am 1997, 24:361–373.

    Article  PubMed  CAS  Google Scholar 

  37. Sutton C, Hill D: Laser laparoscopy in the treatment of endometriosis: a 5-year study. Br J Obstet Gynaecol 1990, 97:181–185.

    PubMed  CAS  Google Scholar 

  38. Weed JC, Ray JE: Endometriosis of the bowel. Obstet Gynecol 1987, 69:727–730.

    PubMed  CAS  Google Scholar 

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Skoog, S.M., Foxx-Orenstein, A.E., Levy, M.J. et al. Intestinal endometriosis: The great masquerader. Curr Gastroenterol Rep 6, 405–409 (2004). https://doi.org/10.1007/s11894-004-0058-6

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  • DOI: https://doi.org/10.1007/s11894-004-0058-6

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