４年間のホルモン療法後に手術を要した腸管子宮内膜症の１例

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  • A Surgical Case of Intestinal Endometriosis After Four-year Treatment with GnRH Analogue

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The patient was a 45-year-old female, who was admitted to our hospital complaining of constipation and melena during a menstrual period in 1995. She had a history of receiving hormone therapy for endometriosis since age 27. A barium enema study and colonofiberscopy showed a stenosis of the rectum. We diagnosed the case as endometriosis of the rectum from these findings and her past history. Four years of hormone therapy did not relieve her symptoms. Therefore, a low anterior resection, total hysterectomy, and left oophorectomy were performed on August 2, 1999. Histologically, endometrial tissue was found in the proper muscle layer of the colon. After surgery her complaints disappeared, and there has been no recurrence of the endometriosis.

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