Single-incision Laparoscopic Surgery for Bowel Obstruction Secondary to Intestinal Endometriosis—A Report of Two Cases—

Eri Kondo, Takashi Yamaguchi, Mayumi IDE, Masaaki Yokoyama, Osamu Yanagida, Toshiyuki MORI
In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 2022 · vol. 83(6) , pp. 1085–1090 · doi:10.3919/jjsa.83.1085 · W4313310884
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Two cases of intestinal obstruction due to intestinal endometriosis were successfully treated with single-incision laparoscopic surgery, demonstrating its utility for minimally invasive and cosmetically favorable outcomes.

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Abstract

症例1は32歳，女性．間欠的腹痛と嘔吐を主訴に受診した．CT・大腸内視鏡検査で，回腸末端の狭窄による腸閉塞を認め，血液検査ではCA125が高値であり，腸管子宮内膜症を疑った．イレウス管を挿入減圧後に単孔式腹腔鏡下回腸部分切除術を施行した．術後経過良好で第8病日に退院した．症例2は37歳，女性．子宮内膜症にてホルモン療法を行っていたが挙児希望のため中断したところ，月経周期に伴い左下腹部痛を繰り返すようになった．腹痛と嘔吐を主訴に受診し，腸閉塞の診断で内科へ入院となった．血液検査ではCA125が高値，CT・大腸内視鏡でS状結腸の粘膜浮腫と全周性の狭窄を認め，外科紹介となった．腸管子宮内膜症の診断で単孔式腹腔鏡下S状結腸部分切除術を施行した．術後経過良好で第9病日に退院した．2例とも病理診断で腸管子宮内膜症であった．腸管子宮内膜症による腸閉塞に対し低侵襲性と整容性の観点からも単孔式腹腔鏡手術が有用であると考えられた．

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Condition tags

endometriosis

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