Rectum, Rectosigmoid, and Sigmoid Endometriosis

  • Manoel Orlando Goncalves
  • Leandro Accardo de Mattos
  • Mauricio S. Abrao


Deep intestinal endometriosis (DIE) is defined as nodules infiltrating at least the muscularis propria layer [1]. Lesions with dense adhesions and/or endometriotic infiltration up to the bowel serosa are not considered DIE. Statistical analysis of groups considered as reference in highly complex surgeries demonstrates that up to 50% of endometriotic patients may have intestinal involvement [2, 3].


Compliance with Ethical Standards


This chapter did not receive external funds.

Conflict of interest

The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest.

Ethical approval

This chapter is a review which does not contain any studies with human participants or animals performed by any of the authors


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Manoel Orlando Goncalves
    • 1
  • Leandro Accardo de Mattos
    • 2
    • 3
  • Mauricio S. Abrao
    • 4
    • 5
  1. 1.Female Pelvis Diagnosis SectionAlta LaboratorySao PauloBrazil
  2. 2.Female Pelvis Diagnosis SectionDASA LaboratorySao PauloBrazil
  3. 3.Department of Diagnostic Imaging, Escola Paulista de MedicinaUniversidade Federal de Sao Paulo (EPM-Unifesp)Sao PauloBrazil
  4. 4.Endometriosis Section, Gynecologic DivisionHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao PauloSao PauloBrazil
  5. 5.Ginecologic DivisionBP—Beneficiencia Portuguesa de Sao PauloSao PauloBrazil

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