![]() Patients with bowel disease may also have a higher incidence of diaphragmatic endometriosis.The small bowels are least commonly involved in bowel endometriosis.90% of bowel endometriosis cases involve the rectum and sigmoid colon (large intestine), while 10% involve the appendix and ileum (the final segment of the small intestine).Review My Case Facts about bowel endometriosis Prevalence ![]() The bowel is involved in approximately 18% of all endometriosis cases. The bowels can be involved at the serosal (outer) or muscular level (be further embedded into the tissue). This causes inflammation and stomach pain and painful bowel movements. In peritoneal endometriosis, the endometrial tissue implants itself outside the bowel walls and continues to grow and menstruate. It leads to persistence and/or resumption of symptoms, despite surgical treatment. Peritoneal endometriosis is the most prevalent yet the most ignored manifestation of endometriosis. This is the area around the rectum including the surface called the peritoneum. The severity of involvement is often limited to the serosal (outer) layer of the rectum and pararectal locations. The most commonly affected portion of the bowel is in the cul-de-sac region and the anterior portion of the rectum, neighboring the upper part of the vagina. It can affect all organs in the pelvic region, including the bowels. Endometriosis is an inflammatory reaction to displaced menstrual tissue that lines the inner surface of the uterus.
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