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It requires complete surgical excision of lesions despite a high risk of complications that include rectal injury, rectovaginal fistula and pelvic abscess. An intraoperative air leak test allows detection of rectal injury and reduces postoperative complications. We report a case of successful management of rectal injury during laparoscopic surgery using a rectal probe even though air leak tests were negative. A 45\u2010year\u2010old woman with severe endometriosis and rectal involvement underwent total laparoscopic hysterectomy combined with rectal shaving. A pinhole injury that reached the rectal muscularis layer without breaching the mucosal layer was identified using a rectal probe after negative air leak tests. The injury was repaired uneventfully. Our experience suggests that using a rectal probe could be helpful for early detection and safe repair of rectal injury during surgery.<\/jats:p>","DOI":"10.1111\/jog.14535","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T03:02:59Z","timestamp":1603076579000},"page":"425-429","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Successful detection of rectal injury during laparoscopic surgery using a rectal probe in a patient with deep endometriosis"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9893-6688","authenticated-orcid":false,"given":"Kaori","family":"Yoriki","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kyoto Prefectural University of Medicine, Graduate School of Medical Science  Kyoto 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