ArticleBMC women's health2025
Clinical diagnosis and treatment of bowel endometriosis and the distribution characteristics of lesions.
Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Surgically Relative Risk Factors for Lower Colorectal Anastomotic Dehiscence and Rectovaginal Fistulas in Complex Deep Endometriosis Cases: A Single-Center Retrospective-Prospective Cohort Study.Journal of clinical medicine · 2026Article
- Improved Outcomes with Nerve-Sparing Technique: A Retrospective Comparison of Colorectal Surgeries for Bowel Endometriosis.International journal of women's health · 2026Article
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3 authors.
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Abstract
backgroundBowel endometriosis (BE) is a complex condition that can present with diverse clinical manifestations, impacting the quality of life for affected individuals. This retrospective case series aimed to investigate the clinical characteristics, diagnosis, treatment, and lesion distribution of BE.
methodsEighty-eight patients with pathologically confirmed BE who underwent surgery at Shanghai Rui-jin Hospital between January 2013 and September 2024 were retrospectively reviewed. Clinical features, diagnostic methods, treatment approaches, lesion distribution, and their association with adenomyosis were analyzed.
resultsAmong the 88 patients, 70.5% had unilateral and/or bilateral endometriotic cysts, and 44.4% of those with ureteral involvement had such cysts. Pelvic MRI demonstrated a positive predictive value of 88.2% (60/68), and endoscopic ultrasound (EUS) showed a positive predictive value of 90.2% (37/41) for preoperative diagnosis of BE. Following surgery, all patients reported relief or disappearance of symptoms, with postoperative symptom improvement rates of 100% for dysmenorrhea, chronic pelvic pain, dyspareunia, and dyschezia.
conclusionsPelvic MRI is recommended for preoperative evaluation of BE, and EUS may be a valuable adjunct in patients with gastrointestinal symptoms to exclude malignancy. CT urography should be considered in cases with suspected ureteral involvement requiring further anatomical clarification. Multidisciplinary collaboration is essential for individualized surgical planning and optimal management of BE.
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