Why Endometriosis of the Bowel is So Difficult To Detect

Endometriosis can actually occur in any organ of our body, although in the lower pelvis and the female reproductive organs are the most common locations. Bowel endometriosis is relatively common as a location for endometriosis that is not confined to the female organs or the abdominal lining tissue (peritoneum) of the pelvis. Since most of the lesions of endometriosis are quite small they can escape detection merely because of size. Intestinal endometriosis usually occurs on the 'outer' portion of the bowel wall, known as the serosa. Thus colonoscopy and barium studies of the bowel rarely identify endometriosis of the bowel because of this anatomic fact. Diagnosis is thus best confirmed by laparoscopic surgeries, or by presumptive diagnosis based on symptoms. New treatments are on the way for endometriosis and thus new hope for those who suffer from this relatively debilitating form of pelvic problem.


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