Reviewer’s report
Title: 
Comprehensive surgical treatment for obstructive rectal endometriosis : a
case report and review of the literature
Version: 
0 
Date: 
19 Apr 2022
Reviewer's report:
Does this look like an interesting case of rectosigmoid endometriosis (?) causing
intestinal obstruction in a woman with fibroids or adenomyomas?, and which
was resolved with radical laparoscopic surgery.
However, 1) I have difficulty understanding the text well. 2) The definition of
endometriosis does not seem to be the most accurate: "Endometriosis, a chronic
neuro-inflammatory condition accompanied by debilitating chronic pelvic pain".
3) What is "Hysteromyomectomy" that had previously been practiced?. 4) How
is it possible that "Physical and directeral (?) rectum examination gave normal
results"?. However, "a primary diagnosis of intestinal obstruction secondary to
rectal endometriosis was made according to the laboratory and instrument
examinations" (?). 5) The description of the surgical treatment is also very
simple, "An operation of laparoscopic partial rectal and sigmoid colon resection
and total hysterectomy was performed successfully". Was the entire intervention
performed by laparoscopy?, How were the uterus, tumors and intestine
removed?. 6) The authors point out that "during the operation, we found a
stenosis recto-sigmoid mass and multiple adenomyoma of the uterus". But what
was the histopathological study of the uterine tumors? And that of the ovaries?,
Were there endometriomas?, Was there endometriosis in the rectovaginal
septum?
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