A Case of Terminal Ileum Endometriosis with Symptoms of Acute Appendicitis

DOI 参考文献25件
  • Umemoto Takahiro
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Yokomizo Kazuaki
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Kigawa Gaku
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Nemoto Hiroshi
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Hibi Kenji
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital

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The patient was a 40-year-old woman with right lower abdominal pain that occurred during menstruation only who had no history of endometriosis. Her McBurney’s point was positive with abdominal guarding and rigidity. Gynecological examinations showed normal results. Her menstrual cycles were regular. Abdominal computed tomography and ultrasonography showed a 30 mm mass involving the ileocecal junction that was suggestive of an appendiceal abscess.<br>　The patient underwent resection of the bowel segment affected by the disease, followed by anastomosis of the ileum and ascending colon for immediate restoration of intestinal transit. Histological analysis confirmed the diagnosis of endometriosis. The patient remains asymptomatic in 20 months of follow-up after surgery.

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