A Case of Laparoscopic Ileocecal Resection for Recurrent Intestinal Obstruction Caused by Ileal Endometriosis

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  • Fukushima Tomoko
    Department of Surgery, Shinmatsudo Central General Hospital
  • Nakagawa Mari
    Department of Surgery, Shinmatsudo Central General Hospital
  • Takeuchi Mizuki
    Department of Surgery, Shinmatsudo Central General Hospital
  • Ebara Gen
    Department of Surgery, Shinmatsudo Central General Hospital
  • Noda Daichi
    Department of Surgery, Shinmatsudo Central General Hospital
  • Otani Taisuke
    Department of Surgery, Shinmatsudo Central General Hospital
  • Matsuo Ryota
    Department of Surgery, Shinmatsudo Central General Hospital

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Other Title
  • 繰り返す腸閉塞に対して腹腔鏡下回盲部切除術を施行した回腸子宮内膜症の１例

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Abstract

<p>We report the case of a 44-year-old woman who presented with recurrent episodes of intestinal obstruction during menstruation. Abdominal computed tomography revealed an ileocecal mass with bowel wall thickening. Ileal endometriosis was suspected. As the patient complained of dysmenorrhea, pseudo-menopause was induced with a GnRH analogue, and during the six months of pseudo-menopause, the patient reported no symptoms of intestinal obstruction. After she discontinued taking oral contraceptives, she again presented with symptoms of intestinal obstruction on the second day of menstruation. On MR imaging, the ileocecal mass was visualized as a high signal intensity on T1-weighted images and as a low signal intensity on T2-weighted images. Under the preoperative diagnosis of intestinal endometriosis, laparoscopic ileocecal resection was successfully performed. Histopathological examination confirmed the diagnosis of ileal endometriosis with lymph node involvement.</p>

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