腸閉塞にて発症した回腸子宮内膜症の1例 A CASE OF ENDOMETRIOSIS OF THE ILEUM PRESENTED WITH INTESTINAL OBSTRUCTION

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子宮内膜症は,子宮内膜組織が異所性に増殖する疾患で,子宮以外の臓器に発生する外性子宮内膜症のうち,腸管子宮内膜症の報告が増加している.今回,比較的稀な腸閉塞をきたした回腸子宮内膜症の1例について報告し,本邦報告例23例について検討した.<br> 症例は25歳女性で,右下腹部痛で来院した.腹部所見より急性虫垂炎,限局性腹膜炎が疑われ,緊急手術を施行した.虫垂および卵巣は肉眼上正常で,回腸末端に輪状狭窄を認め小腸壁の生検と狭窄形成術を施行した.病理診断は腸管子宮内膜症であった.術後腸閉塞が改善せず回盲部切除術を施行した.<br> 腸管子宮内膜症は診断が困難であるため,腸閉塞の原因疾患として念頭におき,診療にあたる必要がある.

Endometriosis is a disease in which endometrial tissues grow in locations outside the uterus. Of such ectopic sites, the intestine has been increasing recently. In this paper, we present a case of endometriosis of the ileum presented with intestinal obstraction which is relatively rare, together with a review of 23 domestic cases.<br> A 25-year-old woman was seen at the hospital because of right lower abdominal pain. Acute appendicitis or localized peritonitis was suspected from abdominal findings. An emergency operation was performed, when the appendix vermiformis and ovary were normal grossly and a ring like stenosis was confirmed at the terminal ileum. A biopsy of the wall of the small intestine and a plasty for the stricture were performed. Pathological diagnosis was endometriosis of the ileum. No remission of the intestinal obstruction could not be attained after the operation, and an excision of the ileocecum was carried out.<br> Since endometriosis of the intestine presents difficulty in diagnosis, it must be kept in mind as a probable cause of intestinal obstructiton.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 61(7), 1877-1881, 2000-07-25

    Japan Surgical Association

参考文献:  24件中 1-24件 を表示

被引用文献:  4件中 1-4件 を表示

各種コード

  • NII論文ID(NAID)
    10008502932
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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