Bong JW, Yu CS, Lee JL, Kim CW, Yoon YS, Park IJ, Lim SB, Kim JC. Intestinal endometriosis: Diagnostic ambiguities and surgical outcomes. World J Clin Cases 2019; 7(4): 441-451 [PMID: 30842955 DOI: 10.12998/wjcc.v7.i4.441]
Corresponding Author of This Article
Chang Sik Yu, MD, PhD, Professor, Surgeon, Division of Colon and Rectal Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. csyu@amc.seoul.kr
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 26, 2019; 7(4): 441-451 Published online Feb 26, 2019. doi: 10.12998/wjcc.v7.i4.441
Intestinal endometriosis: Diagnostic ambiguities and surgical outcomes
Jun Woo Bong, Chang Sik Yu, Jong Lyul Lee, Chan Wook Kim, Yong Sik Yoon, In Ja Park, Seok-Byung Lim, Jin Cheon Kim
Jun Woo Bong, Chang Sik Yu, Jong Lyul Lee, Chan Wook Kim, Yong Sik Yoon, In Ja Park, Seok-Byung Lim, Jin Cheon Kim, Division of Colon and Rectal Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul 05505, South Korea
Author contributions: Bong JW contributed to the manuscript writing, performing data collecting and analysis; Yu CS contributed to the drafting conception and design; Lee JL, Kim CW and Yoon YS contributed to the collecting data; Park IJ, Lim SB and Kim JC contributed to the confirmation results.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Asan Medical Center.
Informed consent statement: This study is retrospective study and informed consent is waived because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment.
Conflict-of-interest statement: There is no conflict of interest or no source of support.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Chang Sik Yu, MD, PhD, Professor, Surgeon, Division of Colon and Rectal Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. csyu@amc.seoul.kr
Telephone: +82-2-30103494 Fax: +82-2-30106701
Received: November 5, 2018 Peer-review started: November 5, 2018 First decision: December 20, 2018 Revised: January 9, 2019 Accepted: January 26, 2019 Article in press: January 26, 2019 Published online: February 26, 2019 Processing time: 114 Days and 2.7 Hours
Core Tip
Core tip: Intestinal endometriosis is difficult to diagnose preoperatively because it mimics various intestinal diseases. The aim of this study is to analyze patients in whom intestinal endometriosis was diagnosed after surgical treatments, and to evaluate the clinical characteristics of preoperatively misdiagnosed cases. According to preoperative evaluations, 13 patients (43.3%) had an initial diagnosis of pelvic endometriosis and 17 patients (56.6%) were misdiagnosed as having other diseases. Only 4 patients (13.3%) had a diagnosis of endometriosis based on endoscopic biopsy findings. Thirteen patients (43.3%) had a history of pelvic surgeries. Ten patients (33.3%) had a history of treatment for endometriosis. Thus, if women of reproductive age have ambiguous symptoms and signs with nonspecific radiologic and/or endoscopic findings, intestinal endometriosis should be included in the differential diagnosis.
