日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
症例報告
腸閉塞を発症し腹腔鏡下手術で治療しえた 小腸子宮内膜症による回盲部狭窄の一例
都築 陽欧子青木 洋一菊地 盤野島 美知夫田中 早紀笠原 真木子松澤 奈々青井 裕美中尾 聡子大塚 彩笠原 華子小泉 朱里遠藤 周一郎鈴木 千賀子田嶋 敦吉田 幸洋
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2016 年 31 巻 2 号 p. 387-392

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  Endometriosis is a common condition that affects women of reproductive age. It mainly occurs in the pelvis and involves the bowel in 3-37% of cases.
  We report a case of intestinal endometriosis accompanied by ileocecal obstruction. The patient was a 50-year-old woman, gravida 0, para 0 who was admitted for ileus to the local hospital. A cystic tumor was identified in her ovary. She was transferred to this hospital because of suspected ileus related to the ovarian cyst.
  Although an ileus tube was inserted, ileus did not improve, and a contrast study showed ileocecal obstruction. Ileocecal resection and salpingo-oophorectomy were performed laparoscopically for intestinal endometriosis and ovarian endometriotic cyst.
  Pathological examination confirmed the presence of endometrial tissue in the lamina propria mucosae and muscularis propria of the ileum. Seventeen months after surgery, there are no signs of intestinal endometriosis recurrence.
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© 2016 日本産科婦人科内視鏡学会
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