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January 1, 2007Journal of Obstetrics and Gynaecology

Rectovaginal endometriosis – a frequently missed diagnosis

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Authors

AGA GriffithsNorthern Sydney Local Health DistrictRKR. N. KoutsouridouUniversity Hospital of WalesRPR. PenkethUniversity Hospital of Wales

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Implication

Retrospective observational study reveals frequent failure to diagnose rectovaginal endometriosis during initial laparoscopy, highlighting the need for routine rectal probe evaluation.

Key Points

  • To assess the proportion of women with confirmed rectovaginal endometriosis who previously had a negative laparoscopy.
  • Retrospective observational study reviewing 61 cases with symptoms of rectovaginal endometriosis who underwent laparoscopy at a single UK hospital between 2001 and 2005.
  • Evaluated surgical findings and prior surgical history, noting pre-referral laparoscopy records in 33 of the 61 cases.
  • Rectovaginal endometriosis was confirmed in 16 of the 61 symptomatic cases evaluated.
  • Of the 16 women with confirmed rectovaginal endometriosis, 14 cases had previously been missed during pre-referral laparoscopy.

Cite This Study

Griffiths et al. (2007) studied this question.

synapsesocial.com/papers/6a94e0c91fe04514d10f2e97https://doi.org/10.1080/01443610701497660
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