A Case of Endometriosis of the Ileum Presenting with Intestinal Obstruction

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  • Endo M.
    Third Department of Surgery, Tokyo Medical University
  • Katsumata K.
    Third Department of Surgery, Tokyo Medical University
  • Mori Y.
    Third Department of Surgery, Tokyo Medical University
  • Enomoto M.
    Third Department of Surgery, Tokyo Medical University
  • Suzuki S.
    Third Department of Surgery, Tokyo Medical University
  • Hisada M.
    Third Department of Surgery, Tokyo Medical University
  • Wada T.
    Third Department of Surgery, Tokyo Medical University
  • Tsuchida A.
    Third Department of Surgery, Tokyo Medical University
  • Aoki T.
    Third Department of Surgery, Tokyo Medical University

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  • 腸閉塞を発症した回腸子宮内膜症の1例

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Abstract

A 38-year-old woman was admitted because of lower abdominal pain. Because decompression of the intestine was unsuccessful, the patient was operated on 5 days after admission. Ileocecal resection was performed. Pathological diagnosis was intestinal endometriosis. She was discharged on postoperative day 19. After discharge, melena occurred on menses, so colon fibroscopy was performed. A stricture was found in the sigmoid colon, and so she underwent hormonal therapy for endometriosis of the rectum. Bowel endometriosis is when endometrioma develops in the wall of the intestine. Thirty-eight cases of intestinal obstruction caused by endometriosis in the ileum have been reported including our case. It is difficult to make a current preoperative diagnosis of intestinal endometriosis by X-ray examination and endoscopy, so we must keep this disease in mind for intestinal obstruction, which is difficult to diagnose preoperatively in young women.

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