A CASE OF ECTOPIC ENDOMETRIOSIS WITH RECURRENT ILEUS AT MENSTRUAL PERIODS

Atsushi Takano, Michiya Yasutome, Osamu Suzuki, Shingo Inoue, Hideki Fujii
In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 2009 · vol. 70(2) , pp. 421–424 · doi:10.3919/jjsa.70.421 · W2042667312
article OA: bronze CC0
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report describes a 42-year-old woman with recurrent ileus during menstrual periods, ultimately diagnosed with ectopic endometriosis after surgical intervention revealed inflammatory adhesions and lesions in the ileum.

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Abstract

症例は42歳，女性．平成19年9月（月経2日目）に腹痛を主訴に当院を受診し，腹部CTで小腸の拡張と腫瘤性病変が認められ，腸閉塞の診断で入院となった．保存的治療施行後，入院8日目の腹部CTで腫瘤性病変は消失し腸閉塞の所見も認められないため一時退院となった．平成20年1月（月経2日目）に再び腸閉塞で再入院し，月経時に繰り返す腸閉塞とCTで認められる腫瘤性病変から異所性子宮内膜症が疑われた．MRIでも子宮内膜症を疑わせる腫瘤性病変が認められた．平成20年3月（月経3日目）に3度目の腸閉塞を発症し，開腹手術を行った．回腸末端に炎症性の癒着が存在し，小腸部分切除術を施行した．また5mm大の白色結節が口側腸管に散在していた．病理組織検査では子宮内膜症の診断であった．月経時に繰り返す腸閉塞と画像診断で術前より異所性子宮内膜症を疑った1例を経験したので報告する．

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Condition tags

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 (8)

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