V29 - Laparoscopic Low Anterior Resection With En Bloc Total Hysterectomy And Bilateral Salpingectomy For Stage IV Endometriosis

Sunday, May 10, 2026

On-Demand

Video Presentation(s)

Maher Al Khaldi, MD, MSc, FRCSC

Clinical Associate
Cleveland Clinic Florida
Cleveland Clinic Florida
Weston, FL, United States

All disclosed relationships have been reviewed and managed prior to the start of this activity. Any relevant relationships will be listed below. This individual has no financial relationships to disclose

Author(s)

VF

Vanessa G. Fuentes, MD

Fellow Physician
Cleveland Clinic, Weston, FL
Weston, Florida, United States

Disclosure information not submitted.
AS

Alison Schneider, MD

Staff Physician, Director of GI Motility
Cleveland Clinic Florida
Weston, Florida, United States

Disclosure information not submitted.
PF

Pamela Frazzini Padilla, MD

Staff, Complex Benign Gynecologic Surgeon
Cleveland Clinic Florida
Weston, Florida, United States

Disclosure information not submitted.

Senior Author(s)

GD

Giovanna Dasilva, MD

Staff Colorectal Surgeon
Cleveland Clinic Florida
Cleveland Clinic Florida
Weston, Florida, United States

Disclosure information not submitted.

CME Eligible

Purpose/Background: We report the case of a 45-year-old woman presenting with rectal bleeding. Imaging and colonoscopy revealed a 5.8 cm rectal endometriotic implant invading the anterior rectal wall.

Methods/Interventions: The patient underwent a laparoscopic low anterior resection with en bloc total hysterectomy and bilateral salpingectomy. The specimen was extracted transvaginally, and an end-to-end colorectal anastomosis was fashioned.

Results/Outcomes: Her postoperative course was uneventful, and she was discharged on postoperative day 3.

Conclusion/Discussion: Final pathology confirmed deep infiltrating endometriosis involving the rectal wall without evidence of malignancy.