Bowel obstruction due to endometriosis in the rectovaginal septum
Takai, N.; Ueda, T.; Nishida, M.; Nasu, K.; Narahara, H.
Clinical and Experimental Obstetrics and Gynecology 35(4): 295-296
2008
ISSN/ISBN: 0390-6663 PMID: 19205449 Document Number: 620946
It is very rare that endometriotic lesions in the rectovaginal septum cause ileus. We report a case of bowel obstruction due to endometriotic lesions in the rectovaginal septum in a 22-year-old woman whose barium enema presented with apple-core-like findings. Diagnostic and treatment modalities were discussed. Preoperative and postoperative gonadotropin-releasing hormone analog and aromatase inhibitor therapy promote relief of clinical symptoms, a reduction of tumor volume and a better approach to radical surgery.