Successful laparoscopic‐assisted treatment of ileal endometriosis with intestinal obstruction

Hiroaki Tsumura, Tetsuya Kagawa, Toru Ichikawa, Masahiro Nishihara
In: Annals of the College of Surgeons of Hong Kong · 2002 · vol. 6(3) , pp. 94–96 · doi:10.1046/j.1442-2034.2002.00138.x · W2066281359
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Laparoscopic-assisted resection and anastomosis successfully treated a rare case of ileal endometriosis causing intestinal obstruction in a 35-year-old woman.

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Abstract

A patient in whom the laparoscopic procedure for intestinal endometriosis with small bowel obstruction was effective is reported. A 35‐year‐old woman who had complained of a stomach ache during menstruation had been followed up for 1 year at another hospital. She presented at Hiroshima Funairi Hospital with upper abdominal pain, and was admitted with suspected small bowel obstruction as a result of plain abdominal X‐ray showing abnormal intestine gas. Laparoscopic observation revealed marked adhesion and stenosis of the distal ileum, which were responsible for the obstruction. Mini‐laparotomy was selected and ilectomy and anastomosis were performed under laparoscopic‐assisted procedure. Histologically, endometriosis was confirmed and resection of the involved segment yielded excellent results, and the patient was discharged. This was an extremely rare case of intestinal obstructive involvement by endometriosis and we briefly discuss here the effectiveness of laparoscopic‐assisted operation. Chinese Abstract image image

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endometriosis

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