ABSTRACT
Pelvic endometriosis in 3-37% of cases involves the intestinal tract, mainly sigmoid colon and rectum. In clinical practice endometriosis of the intestinal tract is rarely diagnosed and usually after long-lasting symptoms. During 3 years we treated only 2 women with this disease and therefore we want to report this seldom disorder. One woman had been diagnosed as having had rectal endometriosis before she was admitted to the hospital and the other one was admitted because of complications after laparoscopic treatment of pelvic endometriosis. In spite of typical signs of intestinal tract endometriosis, the proper diagnosis was made after several years of symptoms in one woman and in the second female histopathology of removed sigmoid colon because of its lesion finally revealed endometriosis. Laparoscopy seems to be the best diagnostic method of intestinal endometriosis and its treatment is to remove the involved part of the bowel together with endometriotic foci and surrounding tissues. Cyclical intestinal endometriosis symptoms correlating with menstrual cycle should always draw our attention to this rare disorder.
