Diagnosis and treatment of deep infiltrating endometriosis with bowel involvement: A case report

Radmila Sparić; Gernot Hudelist; J. Keckstein; Joerg Keckstein

doi:10.2298/sarh1108531s

Diagnosis and treatment of deep infiltrating endometriosis with bowel involvement: A case report

Radmila Sparić, Gernot Hudelist, J. Keckstein, Joerg Keckstein

Srpski arhiv za celokupno lekarstvo · 2011 · vol. 139(7-8) , pp. 531–535 · doi:10.2298/sarh1108531s · PMID:21980668 · W1994295575

article OA: diamond CC0 ⤵ 7 in-corpus citations

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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report demonstrates the successful laparoscopic treatment of deep infiltrating endometriosis with bowel involvement, highlighting transvaginal sonography's role in diagnosis and a multidisciplinary approach for optimal patient care.

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Abstract

INTRODUCTION: Deep infiltrating endometriosis is a form of endometriosis penetrating deeply under the peritoneal surface causing pain and infertility. Assessment of the pelvis by laparoscopy and histological confirmation of the disease is considered the golden standard of diagnosis. CASE OUTLINE: We are presenting a patient diagnosed with deep infiltrating endometriosis by transvaginal ultrasound and treated with minimally invasive radical surgery including segmental resection of the bowel. CONCLUSION: Transvaginal sonography has an important role in detecting deep endometriosis of the pelvis. Fertility sparing surgery is the treatment of choice in symptomatic women wishing to retain fertility, since drugs used for endometriosis interfere with ovulation.The success of the surgery depends on the accuracy of the preoperative diagnosis. A multidisciplinary approach in managing deep endometriosis is mandatory in order to offer patients the best possible treatment using the combined skills of the colorectal and gynaecologic surgical teams. The presented case exhibits the feasibility of laparoscopic approach to severe pelvic endometriosis with bowel involvement.

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Condition tags

mesh:D004715endometriosisdie_deep_infiltratinginfertility

MeSH descriptors

Endometriosis Rectal Diseases Adult Endometriosis Endometriosis Female Humans Rectal Diseases Rectal Diseases

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References (19)

Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis via openalex
Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification via openalex
Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain via openalex
Can transvaginal sonography predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? via openalex
Combination of transvaginal sonography and clinical examination for preoperative diagnosis of pelvic endometriosis via openalex
Deep endometriosis, including intestinal involvement – the interdisciplinary approach via openalex
Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis via openalex
Endometriosis in cesarean section surgical scar via openalex
Laparoscopic segmental colorectal resection for endometriosis: limits and complications via openalex
Laparoscopic Segmental Resection of the Sigmoid Colon for Endometriosis via openalex
Laparoscopic treatment of bowel endometriosis in infertile women via openalex
Long-term follow-up after conservative surgery for rectovaginal endometriosis via openalex
Radical resection of invasive endometriosis with bowel or bladder involvement—Long-term results via openalex
The surgical management of deep rectovaginal endometriosis via openalex
Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy via openalex
What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis via openalex
W2071564400 via openalex
W2017136705 via openalex
W2130203785 via openalex

Cited by (7)

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License: CC0 · commercial use OK

[1] Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis via openalex

[2] Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification via openalex

[3] Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain via openalex

[4] Can transvaginal sonography predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? via openalex

[5] Combination of transvaginal sonography and clinical examination for preoperative diagnosis of pelvic endometriosis via openalex

[6] Deep endometriosis, including intestinal involvement – the interdisciplinary approach via openalex

[7] Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis via openalex

[8] Endometriosis in cesarean section surgical scar via openalex

[9] Laparoscopic segmental colorectal resection for endometriosis: limits and complications via openalex

[10] Laparoscopic Segmental Resection of the Sigmoid Colon for Endometriosis via openalex

[11] Laparoscopic treatment of bowel endometriosis in infertile women via openalex

[12] Long-term follow-up after conservative surgery for rectovaginal endometriosis via openalex

[13] Radical resection of invasive endometriosis with bowel or bladder involvement—Long-term results via openalex

[14] The surgical management of deep rectovaginal endometriosis via openalex

[15] Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy via openalex

[16] What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis via openalex

[17] W2071564400 via openalex

[18] W2017136705 via openalex

[19] W2130203785 via openalex