{"paper_id":"95c45121-e159-4ab3-9e5b-328438dcadd6","body_text":"2. Unusual Case of Intestinal Endometriosis\n1975 Volume 28 Issue 1 Pages 9-15,68\nDetails\nAbstract\nA 33-year-old female, complaining of lower abdominal pain and anal bleeding, underwent a laparotomy under the diagnosis of rectal or left ovarial carcinoma, because of fillings defects detected on X-ray examination and a few tiny polypoid tumors noticed by colonofiber-scopy in the rectum.\nAt laparotomy, an unresectable carcinomatoid mass originating in the rectum was found to occupy all the small pelvic space, and a metastatic tumor at the ileocoecal region was also found to create intestinal stenosis.\nTherefore, an ileocoecal resection and a single barrel colostomy were performed. The postoperative pathological diagnosis was intestinal endometriosis. Hence, she had a gestagen therapy for the period of six months prior to the second surgery.\nAfter the remarkable reduction of the mass, she underwent an anterior resection of the rectum combined with a hystrectomy with bilateral adnexectomies.\nThe specimen obtained by the second surgery demonstrated the left adnex penetrating through the rectal wall, while the other pathological changes were proved minimal.\nAt laparotomy, an unresectable carcinomatoid mass originating in the rectum was found to occupy all the small pelvic space, and a metastatic tumor at the ileocoecal region was also found to create intestinal stenosis.\nTherefore, an ileocoecal resection and a single barrel colostomy were performed. The postoperative pathological diagnosis was intestinal endometriosis. Hence, she had a gestagen therapy for the period of six months prior to the second surgery.\nAfter the remarkable reduction of the mass, she underwent an anterior resection of the rectum combined with a hystrectomy with bilateral adnexectomies.\nThe specimen obtained by the second surgery demonstrated the left adnex penetrating through the rectal wall, while the other pathological changes were proved minimal.\n© The Japan Society of Coloproctology\nこの記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。\nhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja\nFavorites & Alerts\nRecently viewed articles\nPredecessor","source_license":"CC0","license_restricted":false}