A Surgical Case Report of Small Bowel Endometriosis that was Difficult to Preoperatively Diagnose

Naoto Tsujimura, Hiroyoshi Takemoto, Kyotaro Yoshida, Satoshi Oshima
In: Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) · 2018 · vol. 43(1) , pp. 84–87 · doi:10.4030/jjcs.43.84 · W2917920965
article OA: diamond CC0
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a 30-year-old woman with small bowel endometriosis presenting as intermittent abdominal pain and elevated inflammatory markers, initially diagnosed as small bowel obstruction.

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Abstract

症例は30歳代女性．既往歴に特記事項はない．上腹部痛・食思不振・38℃台の発熱を主訴に近医を受診した．血液検査で著明な炎症反応を指摘されたため，当院を受診した．来院時，間欠的な腹痛は持続していたものの腹部は平坦・軟で筋性防御や腹膜刺激症状は認められなかった．腹部造影CTで，終末回腸の造影効果を伴う壁肥厚および口側小腸の拡張を指摘された．小腸イレウスと診断し，イレウス管留置による腸管減圧後に手術を施行した．回腸末端から口側８cmに腫瘤を認めたため同部位を含む小腸部分切除術を施行した．経過は良好で術後10日目に退院した．病理組織診断は小腸子宮内膜症であった．腸管子宮内膜症はS状結腸や直腸に多いとされるが，小腸子宮内膜症は比較的稀であるため文献的考察を加えて報告した．

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Condition tags

endometriosisbowel_endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (6)

Source provenance

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last seen: 2026-06-10T17:14:06.276822+00:00
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