A Case of Intussusception by Endometriosis of the Ileum

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Other Title
  • 回盲部腸重積を形成した回腸子宮内膜症の1例

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Abstract

We report our experience in a patient who had ileocecal intussusception due to ileal endometriosis. A 40-year-old female was treated in the emergency department of this hospital (on an outpatient basis) for epigastric pain in October 2004; her symptom resolved with fluid therapy and she was sent home. On the following morning, the patient developed nausea and vomiting with worsening of the abdominal pain, and visited the emergency department of the hospital. Abdominal examination revealed right abdominal tenderness and positive Blumberg's sign. Abdominal ultrasonography revealed bowel hypoperistalsis in the right lower abdomen, intestinal dilatation and multiple concentric signs in the ileocecal region. Furthermore, emergency contrast CT revealed ascites and ileal swelling, Suggestive of strangulation ileus due to intussusception, and emergency surgery was performed. Hemorrhagic ascites was found in the abdominal cavity. A submucosal tumor was detected in the terminal ileum, which had intussuscepted into the Bauhin valve. The intussusception was manually reduced, and then ileocecal resection +D2 as conducted because of the possibility of malignancy. The excised specimen proved to be a submucosal tumor measuring 3cm in size, and postoperative histopathological examination indicated the diagnosis of intestinal endometriosis.

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Details 詳細情報について

  • CRID
    1571417127548120960
  • NII Article ID
    110007024896
  • NII Book ID
    AN00192066
  • ISSN
    03869768
  • Text Lang
    ja
  • Data Source
    • CiNii Articles

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