A CASE REPORT OF ENDOMETRIOSIS OF THE APPENDIX AND ILEUM

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  • YAMAMOTO Yuji
    Department of Surgery, Eniwa Daiichi Hospital
  • HIRATA Koichi
    First Department of Surgery, School of Medicine, Sapporo Medical University

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  • 虫垂および回腸子宮内膜症の1例

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Abstract

A case of endometriosis of the appendix and ileum is reported.<br> A 42-year-old woman was seen at the hospital because of dizziness on October 13, 1997. Because mild anemia was noted in the laboratory data and occult blood reaction was positive, she was admitted for further examination. No abnormal physical condition of her abdomen was observed. A barium enema study revealed the absence of the flow of contrast medium to the appendix and a deformation of the ileocecum. A colonoscopic examination revealed an elevated lesion like submucosal tumor with a smooth surface at the appendical opening. From these findings, an ileocecal resection and a partial resection of the ileum were performed on November 22 with a diagnosis of a submucosal tumor of the cecum. During operation a tumor measuring 2cm in maximal diameter was found at the root of the appendix and adhesion of the ileum was observed. Macroscopically the solid tumor, measuring 1.5×1.8cm in diameter was present at the root of the appendix. Histopathological diagnosis was endometriosis of the appendix and ileum.

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