A case of ileal endometriosis presented with intestinal obstruction.

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  • 腸閉塞にて発症した小腸子宮内膜症の１例

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Abstract

A case of ileal endometriosis presented with intestinal obstruction is reported.<br> A 44-year-old woman, complaining of abdominal pains around menstrations, had been observed as bysmenorrhea for about one year because no abnormalities were revealed on gynecological examinations. The patient became to complain of severe abdominal pains and vomiting since a month ago and was admitted to this hospital under the diagnosis of intestinal obstruction.<br> A laparotomy was performed, for conservative therapies were unsuccessful. Flextions, adhesions and intestinal wall thickness of the ileum at the 20cm oral portion from the terminal ileum were observed and the oral side intestine from this portion was markedly dilated. A segmental resection of the ileum was performed and the lesion was diagnosed as ileal endometriosis on pathological examinations.<br> It is very difficult to diagnose endometriosis of the small intestine preoperatively, because this disease rarely involves the small intestine and presents with intestinal obstruction. We have to keep this disease in mind on adult woman who manifest gastrointestinal symptoms associated with dysmenorrhea. A careful observation is reguised after operation, because it can frequently recur and often has multiple lesions.

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