A case of ileocecal obstruction caused by intestinal endometriosis treated by total laparoscopic surgery

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  • Tsuzuki Yoko
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Aoki Yoichi
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Kikuchi Iwaho
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Nojima Michio
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Tanaka Saki
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Kasahara Makiko
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Matsuzawa Nana
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Aoi Hiromi
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Nakao Satoko
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Otsuka Aya
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Kasahara Hanako
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Koizumi Akari
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Endo Shuichiro
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Suzuki Chikako
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Tajima Atsushi
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital
  • Yoshida Koyo
    Department of Obstetrics and Gynecology Juntendo University Urayasu Hospital

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Other Title
  • 腸閉塞を発症し腹腔鏡下手術で治療しえた 小腸子宮内膜症による回盲部狭窄の一例

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  Endometriosis is a common condition that affects women of reproductive age. It mainly occurs in the pelvis and involves the bowel in 3-37% of cases. <br>  We report a case of intestinal endometriosis accompanied by ileocecal obstruction. The patient was a 50-year-old woman, gravida 0, para 0 who was admitted for ileus to the local hospital. A cystic tumor was identified in her ovary. She was transferred to this hospital because of suspected ileus related to the ovarian cyst. <br>  Although an ileus tube was inserted, ileus did not improve, and a contrast study showed ileocecal obstruction. Ileocecal resection and salpingo-oophorectomy were performed laparoscopically for intestinal endometriosis and ovarian endometriotic cyst. <br>  Pathological examination confirmed the presence of endometrial tissue in the lamina propria mucosae and muscularis propria of the ileum. Seventeen months after surgery, there are no signs of intestinal endometriosis recurrence.

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