Adult Intussusception Due to Endometriosis Arising from the Uterine Tube: Report of a Case

Toru Yoshikawa, Yuta Ibuki, Mayumi Kaneko, Hideki Teramoto, Masanori Yoshimitsu, Manabu Emi, Toshihiko Kohashi, Jun Hihara, Hidenori Mukaida, Naoki Hirabayashi
In: Hiroshima Journal of Medical Sciences · 2018 · vol. 67(2) , pp. 51–54 · doi:10.24811/hjms.67.2_51 · W2916559128
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This case report details a 40-year-old woman with ileocecal intussusception caused by uterine tube endometriosis, successfully treated with surgical resection.

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This case report describes a 40-year-old woman with abdominal pain in whom computed tomography showed ileocecal intussusception. The patient underwent endoscopic reduction followed by laparoscopic resection, with intraoperative findings of adhesion between the right uterine adnexa and the caecum leading to combined resection of the uterine adnexa and ileocecum. Pathology demonstrated endometriosis arising from the uterine tube with direct involvement of the cecal wall as the cause of the intussusception. The authors note that such adult intussusception due to endometriosis is rare and that preoperative diagnosis can be difficult. This paper is centrally about endometriosis — it reports adult ileocecal intussusception caused by uterine-tube–origin endometriosis directly involving the cecal wall.

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Abstract

Introduction: Endometriosis is a rare cause of intussusceptions in adults. Although intestinal endometriosis sometimes arises as a consequence of direct involvement of the pelvic organs with endometrial tissue, there is no report that this type of endometriosis causes ileocecal intussusception. Case presentation: Computed tomography assessment of a 40-year-old woman who presented with abdominal pain revealed ileocecal intussusceptions. The patient was managed by endoscopic reduction followed by laparoscopic resection. Adhesion between the right uterine adnexa and caecum was identified during surgery; therefore, combined resection of the uterine adnexa and ileocecum was performed. Pathological findings revealed that endometriosis, arising from the uterine tube and directly involving the cecal wall, had caused the intussusceptions. Conclusion: Although rare, endometriosis should be considered as part of a differential diagnosis of intussusception in adult women who present with abdominal pain. A preoperative diagnosis is sometimes difficult, therefore, surgical resection could be a reasonable strategy to achieve a precise diagnosis.
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WEKO3 アイテム Adult Intussusception Due to Endometriosis Arising from the Uterine Tube: Report of a Case https://hiroshima.repo.nii.ac.jp/records/2013747 https://hiroshima.repo.nii.ac.jp/records/2013747d85ba919-b296-4a3c-a932-a85fad2f85f5 | 名前 / ファイル | ライセンス | アクション | |---|---|---| | HiroshimaJMedSci_67_51.pdf (5.0 MB) | | アイテムタイプ | デフォルトアイテムタイプ_（フル）(1) | ||||||||||||||||||||||||| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| | 公開日 | 2023-03-18 | ||||||||||||||||||||||||| | タイトル | |||||||||||||||||||||||||| | タイトル | Adult Intussusception Due to Endometriosis Arising from the Uterine Tube: Report of a Case | ||||||||||||||||||||||||| | 言語 | en | ||||||||||||||||||||||||| | 作成者 | Yoshikawa, Toru × Yoshikawa, Toru × Ibuki, Yuta × Kaneko, Mayumi × Teramoto, Hideki × Yoshimitsu, Masanori × Emi, Manabu × Kohashi, Toshihiko × Hihara, Jun × Mukaida, Hidenori × Hirabayashi, Naoki | ||||||||||||||||||||||||| | アクセス権 | |||||||||||||||||||||||||| | アクセス権 | open access | ||||||||||||||||||||||||| | アクセス権URI | http://purl.org/coar/access_right/c_abf2 | ||||||||||||||||||||||||| | 権利情報 | |||||||||||||||||||||||||| | 権利情報 | Copyright (c) 2018 Hiroshima University Medical Press | ||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||| | 主題Scheme | Other | ||||||||||||||||||||||||| | 主題 | adult intussusception | ||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||| | 主題Scheme | Other | ||||||||||||||||||||||||| | 主題 | endometriosis | ||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||| | 主題Scheme | Other | ||||||||||||||||||||||||| | 主題 | laparoscopic surgery | ||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||| | 主題Scheme | NDC | ||||||||||||||||||||||||| | 主題 | 490 | ||||||||||||||||||||||||| | 内容記述 | |||||||||||||||||||||||||| | 内容記述 | Introduction: Endometriosis is a rare cause of intussusceptions in adults. Although intestinal endometriosis sometimes arises as a consequence of direct involvement of the pelvic organs with endometrial tissue, there is no report that this type of endometriosis causes ileocecal intussusception. Case presentation: Computed tomography assessment of a 40-year-old woman who presented with abdominal pain revealed ileocecal intussusceptions. The patient was managed by endoscopic reduction followed by laparoscopic resection. Adhesion between the right uterine adnexa and caecum was identified during surgery; therefore, combined resection of the uterine adnexa and ileocecum was performed. Pathological findings revealed that endometriosis, arising from the uterine tube and directly involving the cecal wall, had caused the intussusceptions. Conclusion: Although rare, endometriosis should be considered as part of a differential diagnosis of intussusception in adult women who present with abdominal pain. A preoperative diagnosis is sometimes difficult, therefore, surgical resection could be a reasonable strategy to achieve a precise diagnosis. | ||||||||||||||||||||||||| | 言語 | en | ||||||||||||||||||||||||| | 出版者 | |||||||||||||||||||||||||| | 出版者 | Hiroshima University Medical Press | ||||||||||||||||||||||||| | 言語 | |||||||||||||||||||||||||| | 言語 | eng | ||||||||||||||||||||||||| | 資源タイプ | |||||||||||||||||||||||||| | 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | ||||||||||||||||||||||||| | 資源タイプ | departmental bulletin paper | ||||||||||||||||||||||||| | 出版タイプ | |||||||||||||||||||||||||| | 出版タイプ | VoR | ||||||||||||||||||||||||| | 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | ||||||||||||||||||||||||| | 関連情報 | |||||||||||||||||||||||||| | 識別子タイプ | DOI | ||||||||||||||||||||||||| | 関連識別子 | 10.24811/hjms.67.2_51 | ||||||||||||||||||||||||| | 関連情報 | |||||||||||||||||||||||||| | 識別子タイプ | DOI | ||||||||||||||||||||||||| | 関連識別子 | https://doi.org/10.24811/hjms.67.2_51 | ||||||||||||||||||||||||| | 収録物識別子 | |||||||||||||||||||||||||| | 収録物識別子タイプ | ISSN | ||||||||||||||||||||||||| | 収録物識別子 | 0018-2052 | ||||||||||||||||||||||||| | 収録物識別子 | |||||||||||||||||||||||||| | 収録物識別子タイプ | ISSN | ||||||||||||||||||||||||| | 収録物識別子 | 2433-7668 | ||||||||||||||||||||||||| | 収録物識別子 | |||||||||||||||||||||||||| | 収録物識別子タイプ | NCID | ||||||||||||||||||||||||| | 収録物識別子 | AA00664312 | ||||||||||||||||||||||||| | 開始ページ | |||||||||||||||||||||||||| | 開始ページ | 51 | ||||||||||||||||||||||||| | 書誌情報 | Hiroshima Journal of Medical Sciences Hiroshima Journal of Medical Sciences 巻 67, 号 2, p. 51-54, 発行日 2018-06 | ||||||||||||||||||||||||| | 旧ID | 46493 |

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