A Case of Sigmoid Colon Endometriosis Presented with Bowl Obstruction after Barium Gastrography

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  • WADA Hideyuki
    Department of Surgery, Obihiro Kosei Hospital Department of Gastroenterological Surgery II, Division of Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University
  • KUWABARA Shota
    Department of Surgery, Obihiro Kosei Hospital
  • MURAKAWA Katsuhiko
    Department of Surgery, Obihiro Kosei Hospital
  • MATSUMOTO Joe
    Department of Surgery, Obihiro Kosei Hospital
  • ONO Koichi
    Department of Surgery, Obihiro Kosei Hospital
  • HIRANO Satoshi
    Department of Gastroenterological Surgery II, Division of Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University

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Other Title
  • 胃バリウム検査を契機に腸閉塞を発症したS状結腸子宮内膜症の1例
  • 症例 胃バリウム検査を契機に腸閉塞を発症したS状結腸子宮内膜症の1例
  • ショウレイ イ バリウム ケンサ オ ケイキ ニ チョウ ヘイソク オ ハッショウ シタ Sジョウ ケッチョウ シキュウ ナイマクショウ ノ 1レイ

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<p>A 40-year-old woman visited a neighboring hospital because of lower abdominal pain developed after barium gastrography. An abdominal X-ray film showed an enlargement of the almost entire colon due to filled barium and a colonoscopy revealed a stenosis completely encircling the sigmoid colon. She was diagnosed as having large bowel obstruction caused by suspected sigmoid colon cancer and was referred to our hospital. Since a transanal decompression tube could not be placed due to severe stenosis, laparoscopic surgery was planned on the next day. As a result, laparoscopic sigmoidectomy and double-barreled ileostomy were performed for the mass in the sigmoid colon. The patient had an uneventful postoperative course and was discharged on day 11 after the surgery. The mass of the sigmoid colon was histopathologically diagnosed as intestinal endometriosis and the hormone therapy is currently ongoing. We report a case of sigmoid colon endometriosis presented with bowel obstruction after barium gastrography.</p>

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