Intestinal endometriosis diagnosed endoscopically and resected laparoscopically: a case report

In: Progress of Digestive Endoscopy · 2019 · vol. 95(1) , pp. 87–89 · doi:10.11641/pde.95.1_87 · W2997604144
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A 34-year-old woman with intestinal constriction was diagnosed with small intestinal endometriosis via colonoscopy and treated with laparoscopic ileocecal resection, confirming endometrial tissue infiltration through the ileal wall.

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This case report describes a 34-year-old woman presenting with intestinal constriction and inflammation, initially suspected to be related to prior infectious enteritis. Colonoscopy findings led to the suspicion of small intestinal endometriosis, prompting a laparoscopic ileocecal resection which revealed adhesion and bending of the terminal ileum. Pathological examination confirmed the diagnosis by identifying endometrial tissue infiltrating the entire wall from serosa to muscularis of the resected ileum. The patient experienced an uneventful postoperative recovery, supporting the consideration of endometriosis as a differential diagnosis in premenopausal women with similar gastrointestinal symptoms. This paper is centrally about endometriosis — specifically the endoscopic diagnosis and laparoscopic resection of deep infiltrating lesions within the small intestine.

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Abstract

A 34-year-old woman with a history of infectious enteritis one year ago. Colonoscopy showed intestinal constriction and inflammation. She was referred to our hospital for further treatment. We suspected that she had small intestinal endometriosis and performed laparoscopic ileocecal resection. Surgical findings showed bending and adhesion of the terminal ileum. A pathological examination of the resected ileum showed infiltration by endometrial tissue through almost the entire wall from serosa to muscularis of the ileum. The postoperative course was uneventful. Endometriosis should be considered as a differential diagnosis with a high index of suspicion in premenopausal women.
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症例 小腸子宮内膜症を診断し腹腔鏡下回盲部切除術を施行した1例 2019 年 95 巻 1 号 p. 87-89 詳細 抄録 A 34-year-old woman with a history of infectious enteritis one year ago. Colonoscopy showed intestinal constriction and inflammation. She was referred to our hospital for further treatment. We suspected that she had small intestinal endometriosis and performed laparoscopic ileocecal resection. Surgical findings showed bending and adhesion of the terminal ileum. A pathological examination of the resected ileum showed infiltration by endometrial tissue through almost the entire wall from serosa to muscularis of the ileum. The postoperative course was uneventful. Endometriosis should be considered as a differential diagnosis with a high index of suspicion in premenopausal women. © 2019 一般社団法人 日本消化器内視鏡学会 関東支部

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endometriosis

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