Single-incision Laparoscopic Surgery for Intestinal Obstruction Caused by Ileal Endometriosis: A Case Report

In: Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) · 2025 · vol. 50(1) , pp. 30–36 · doi:10.4030/jjcs.50.30 · W7131866303
article OA: diamond CC0
AI-generated summary by claude@2026-06, 2026-06-09

This case report describes a single-incision laparoscopic approach for partial resection and reconstruction of the ileum in a 40-year-old female patient suffering from intestinal obstruction caused by ileal endometriosis.

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Abstract

症例は40歳女性.嘔吐にて近医受診し,精査加療目的に当院消化器内科に紹介受診された.CTで境界不明瞭な腫瘤性病変を左下腹部に認め,口側腸管が拡張していた.イレウス管を留置して消化管造影検査を施行したところ,回腸遠位部で狭窄像を認め,同部が責任病変の腸閉塞と診断した.保存的加療を開始し,一旦軽快してイレウス管を抜去したが抜去3日後に腸閉塞が再燃した.短期間に腸閉塞を繰り返していることから,手術目的に外科紹介となり,単孔式腹腔鏡下回腸部分切除術を施行した.回盲弁から10cm口側に白色調の結節を認め,同部位で腸管が屈曲して癒着,狭窄していた.同部を切除し,機能的端々吻合で再建した.病理組織学的検査で,回腸壁に大小の内膜腺成分が散在しており,回腸子宮内膜症と診断した.

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Condition tags

endometriosis

Citation neighborhood

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References (11)

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last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK