腸閉塞をきたしたS状結腸子宮内膜症の1例

概要

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Cases of endometriosis occurring in the intestinal tract and inducing ileus have been reported only rarely in Japan. A recent case of ileus subsequent to endometriosis in the sigmoid colon is reported in this paper. The patient was a 29-fear-old married woman complaining of abdominal pain. She had a history of ovariectomy for left ovarian cystoma at the age of 22 years. When she was 25 years old, she had undergone surgical opening of an obstructed right uterine tube. She had visited a negihborhood doctor on April 7, 1988, because of abdominal pain. She underwent proctostomy because the condition subsequently became aggravated to ileus. The patient was admitted to our department on April 16 for re-operation. Contrast enema and colorectal endoscopy revealed complete obstruction at a site 20 cm from the anal verge. Laparotomy was performed under a suspicion of malignant tumor or endometriosis in the intestinal tract. Since a perioperative pathological diagnosis of sigmoid colon endometriosis was obained, sigmoidectomy was carried out.
日本大腸肛門病学会の論文