{"paper_id":"4c047b05-ee36-4182-bb87-ccc9fb25e1a5","body_text":"症例\n術前に確定診断しえたS状結腸子宮内膜症の1例\n1997 年 50 巻 p. 296-297\n詳細\n抄録\nWe report a case of sigmoid colon endometriosis associated with ileus, diagnosed definitely by endoscopic biopsy before the operation.\nThe patient was a 36-years-old woman complaining of bloody stool and abdominal pain. We performed barium enema study after the admission, and found stenosis with irregular surface in the sigmoid colon. Colonoscopy showed nodular elevated lesion with some reddening and erosion at 15cm oral side from the anus. We could diagnose definitely her endometriosis of the sigmoid colon from the biopsy specimens and the sigmoidectomy was performed. Histological examination showed the spread of the endometrial tissue penetrated from serosa to mucosa of the resected sigmoid colon.\nTo confirm endometrial tissue by endoscopic biopsy, we have to keep the clinical characteristics of the colon endometriosis in our minds ; its forming submucosal tumor, and altering mucosal aspects in relation with the cycle of menses.\nThe patient was a 36-years-old woman complaining of bloody stool and abdominal pain. We performed barium enema study after the admission, and found stenosis with irregular surface in the sigmoid colon. Colonoscopy showed nodular elevated lesion with some reddening and erosion at 15cm oral side from the anus. We could diagnose definitely her endometriosis of the sigmoid colon from the biopsy specimens and the sigmoidectomy was performed. Histological examination showed the spread of the endometrial tissue penetrated from serosa to mucosa of the resected sigmoid colon.\nTo confirm endometrial tissue by endoscopic biopsy, we have to keep the clinical characteristics of the colon endometriosis in our minds ; its forming submucosal tumor, and altering mucosal aspects in relation with the cycle of menses.\n© 1997 一般社団法人 日本消化器内視鏡学会 関東支部","source_license":"CC0","license_restricted":false}