A Case of Intestinal Endometriosis with Perforation due to Intestinal Obstruction

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  • 腸閉塞により消化管穿孔した回腸子宮内膜症の1例
  • 症例 腸閉塞により消化管穿孔した回腸子宮内膜症の1例
  • ショウレイ チョウ ヘイソク ニ ヨリ ショウカカン センコウ シタ カイチョウ シキュウ ナイマクショウ ノ 1レイ

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Abstract

A 41-year-old woman without previous medical histories was admitted to our hospital due to abdominal pain. Abdominal CT scan showed wall thickening and an obstruction at the terminal ileum. Small bowel series, ileum-endoscopy and biopsy failed to reveal apparent cause of the obstruction. A possibility of a tumor or enteritis was ruled out. She recovered through conservative therapy, and was discharged. Two months later, she was brought into our emergency department again, complaining of acute abdominal pain. Abdominal CT scan revealed small vowel obstruction, ascites and intra-abdominal free air. On the same day, an emergency operation was performed with a diagnosis of perforative peritonitis. We employed laparoscopic-assisted ileocecal resection. The histopathological diagnosis was intestinal endometriosis. The patient has been treated with endocrine therapy at the gynecological department and shows no recurrence as of 8 months after the operation. We report a rare case of intestinal endometriosis with perforation due to intestinal obstruction.

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