腸重積をきたした盲腸子宮内膜症の1例  [in Japanese] A Case Report of Cecal Endometriosis Causing Intussusception  [in Japanese]

Search this Article

Author(s)

Abstract

症例は43歳の女性で,2002年7月12日より腹痛および下痢があり,7月22日当院初診となった.腹部超音波検査およびCT検査にて腸重積と診断.しかし,腹部単純X線上イレウス像を認めず,臨床症状も重篤ではなく,本人の希望もあって経過を見ていた.しかし,その後も症状改善せず初診から9日後に開腹手術を行った.手術所見では盲腸内の粘膜下腫瘍が先進部となり回腸が上行結腸内まで重積していた.これを用手的に圧出,解除後,回盲部切除術にて病変を摘出した.切除標本は5cm大の粘膜下腫瘍で,病理学的検索にて盲腸子宮内膜症と判明した.腸重積を合併した盲腸子宮内膜症の報告は少なく,本邦においては本症例が2例目,国内外を合わせても6例目となる.

We report a rare case of intestinal endometriosis causing intussusception. A 43-year-old woman reporting abdominal pain and intermittent diarrhea on July 22, 2002 was found in ultrasonography and computed tomography to have intestinal intussusception. Because of the mildness of symptoms, she wished to avoid surgery but increasing pain and loss of appetite led her to consent eventually to surgical intervention 9 days after the first consultation. A submucosal tumor in the cecum had advanced into the ascending colon, causing the intussusception, which was released bimanually, followed by ileocecal resection to remove the tumor. The histological diagnosis was ectopic endometriosis.

Journal

  • The Japanese journal of gastroenterological surgery

    The Japanese journal of gastroenterological surgery 37(12), 1910-1913, 2004-12-01

    The Japanese Society of Gastroenterological Surgery

References:  13

Cited by:  4

Codes

  • NII Article ID (NAID)
    10014399906
  • NII NACSIS-CAT ID (NCID)
    AN00192066
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869768
  • Data Source
    CJP  CJPref  NII-ELS 
Page Top