[症例報告]Endometriosis of the sigmoid colon mimicking infiltrating carcinoma : A case report

概要

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A case of endometnosis of the sigmoid colon in a 25-year-old woman is reported herein. She had had occasional episodes of lower abdominal colicky pain a few days prior to her menstruation for the past seven years. Barium enema studies revealed irregular stricture of the sigmoid colon with the preserved mucosa closely simulating infiltrating carcinoma. At operation, the involved segment of the sigmoid colon was thickened and indurated, and adherent to the left fallopian tube and the uterus. Reddish brown, mottled nodules were found on the left pelvic peritoneum. The involved segment of the sigmoid colon was stenosed with thickening and kinking of the wall. Histologically, the endometrial tissues were scattered within the wall and the mesentery except the mucosa. These endometrial tissues were attended by thickening and kinking of the wall. The patient has been doing well without any evidence of dysmenorrhea since surgery.
琉球大学医学部の論文
1985-00-00