Introduction: Endometriosis is characterized by the presence of functional endometrial tissue consisting of glands and/ or
stroma located outside the uterus , although implanted ectopically, this tissue presents histopathological and physiological
responses that are similar to the responses of the endometrium .
Clinical Features: Endometriosis usually becomes apparent in the reproductive years when the lesions are stimulated by
ovarian hormones. Forty percent of the patient’s present symptoms in a cyclic manner, which are usually related with menses Pelvic
pain, infertility and dyspareunia are the characteristic symptoms of the disease, but the clinical presentation is often non-specific
Diagnosis and Investigations: A precise diagnosis about the presence, location and extent of rectosigmoid endometriosis is
required during the preoperative workup because this information is necessary in the discussion with both the colorectal surgeon
and the patient. Furthermore, almost all patients with intestinal endometriosis have lesions in multiple pelvic locations and it is
difficult to know what symptoms are caused by the intestinal disease versus the pelvic disease.
Treatment: Treatment must be individualized, taking the clinical problem in its entirety into account, including the impact of
the disease and the effect of its treatment on quality of life. Pain symptoms may persist despite seemingly adequate medical and/
or surgical treatment of the disease. In such circumstances, a multi-disciplinary approach involving a pain clinic and counselling
should be considered early in the treatment plan.