Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/27/2025

Bowel Endometriosis Involvement and Gastrointestinal Symptoms

Location and Prevalence of Bowel Endometriosis

  • The rectosigmoid colon is involved in approximately 90% of bowel endometriosis cases, followed by sigmoid colon, cecum, and rarely small bowel 1, 2

Symptoms Associated with Bowel Endometriosis

  • Sacral backache with menses is a symptom that may be associated with bowel endometriosis 3

REFERENCES

1

acr appropriateness criteria® endometriosis. [LINK]

Journal of the American College of Radiology, 2024

2

acr appropriateness criteria® endometriosis. [LINK]

Journal of the American College of Radiology, 2024

3

Endometriosis Flare-ups and Associated Risks [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025