ENDOMETRIOSIS OF THE RECTUM FORMING A FISTULA

Kazuhiko Tsuchiya, M Mukubo, Hiromi Maeda, Yoichi Matsumoto, T. Hamamoto
In: The journal of the Japanese Practical Surgeon Society · 1996 · vol. 57(3) , pp. 653–657 · doi:10.3919/ringe1963.57.653 · W2328229831
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A 34-year-old woman with rectal endometriosis forming a fistula and ovarian cyst was treated via surgical excision of the rectum, cyst, and adnexa, resulting in no recurrence after four years.

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This case report describes a 34-year-old woman presenting with anal bleeding and lower abdominal pain due to rectal endometriosis complicated by an ovarian cyst and fistula formation. Diagnostic imaging and colonoscopy identified a submucosal lesion, leading to surgical excision of the rectum, cyst, fistula, and adnexa. Histological analysis confirmed infiltration of endometrial glands into the rectal muscular layer, and the patient remained recurrence-free for four years post-operation. The authors conclude that aggressive surgical intervention is necessary for managing intestinal fistulas caused by endometriosis. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis of the rectum involving fistula formation.

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Abstract

We experienced a case of endometriosis of the rectum forming an ovarial cyst with endometriosis and fistula. A 34-year-old woman was admitted to the hospital because of anal bleeding and lower abominal pain. Colonoscopic examination revealed a submucosal tumorous lesion in the rectum. Barium enema showed a leakage and retention of contrast medium from the rectum. CT and magnetic resonance imaging visualized a cystic tumor of the rectum. A diagnosis of fistula formation of endometrial ovarian cyst to the rectum was made. Because of persisting anal bleeding, excision of the rectum including the cyst, fistula and adnexa uteri was carried out. The excised specimen revealed an infiltration of the endometrial gland into the muscular layer of the rectum. There has been no sign of recurrence, as of about 4 years after the operation. It is though that agressive surgical treatment is necessary for fistula-forming endometriosis of the intestine.
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ENDOMETRIOSIS OF THE RECTUM FORMING A FISTULA 1996 Volume 57 Issue 3 Pages 653-657 Details Abstract We experienced a case of endometriosis of the rectum forming an ovarial cyst with endometriosis and fistula. A 34-year-old woman was admitted to the hospital because of anal bleeding and lower abominal pain. Colonoscopic examination revealed a submucosal tumorous lesion in the rectum. Barium enema showed a leakage and retention of contrast medium from the rectum. CT and magnetic resonance imaging visualized a cystic tumor of the rectum. A diagnosis of fistula formation of endometrial ovarian cyst to the rectum was made. Because of persisting anal bleeding, excision of the rectum including the cyst, fistula and adnexa uteri was carried out. The excised specimen revealed an infiltration of the endometrial gland into the muscular layer of the rectum. There has been no sign of recurrence, as of about 4 years after the operation. It is though that agressive surgical treatment is necessary for fistula-forming endometriosis of the intestine. A 34-year-old woman was admitted to the hospital because of anal bleeding and lower abominal pain. Colonoscopic examination revealed a submucosal tumorous lesion in the rectum. Barium enema showed a leakage and retention of contrast medium from the rectum. CT and magnetic resonance imaging visualized a cystic tumor of the rectum. A diagnosis of fistula formation of endometrial ovarian cyst to the rectum was made. Because of persisting anal bleeding, excision of the rectum including the cyst, fistula and adnexa uteri was carried out. The excised specimen revealed an infiltration of the endometrial gland into the muscular layer of the rectum. There has been no sign of recurrence, as of about 4 years after the operation. It is though that agressive surgical treatment is necessary for fistula-forming endometriosis of the intestine. © Japan Surgical Association Favorites & Alerts Recently viewed articles

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