A case of intestinal obstruction presented with ileal endometriosis
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⤵ 2 in-corpus citations
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This case report details a 36-year-old woman who presented with ileal obstruction and was ultimately diagnosed with intestinal endometriosis after exploratory surgery revealed severe adhesions and fistula formation in the terminal ileum.
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Abstract
症例は既往歴のない36歳の女性．平成20年5月，月経初日の夕食後に腹痛が出現，翌日に腹痛の増悪と嘔吐を認めたために近医を受診．腹部CTにて血性腹水と小腸の拡張を認め，当院婦人科紹介となる．子宮・付属器に異常なしとのことで，回盲部の炎症による小腸イレウスとして外科紹介となった．右下腹部に反跳痛を認めたため，緊急手術を施行した．手術所見では，回腸末端部が相互の強固な癒着性変化にて一塊となっており，潰瘍穿通による瘻孔形成によるものと判断した．病変部口側にも線維化病変を数カ所認めたため，Crohn病と診断，回盲部切除を施行した．術後病理組織検査にて腸管子宮内膜症と診断され，本症例のイレウスは異所性子宮内膜症による回腸狭窄と考えられた．回腸子宮内膜症によるイレウスはまれな病態ではあるが，成人の女性のイレウスでは鑑別すべき疾患であると思われる．
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (2)
- INTESTINAL ENDOMETRIOSIS 1960
- A CASE OF ENDOMETRIOSIS OF THE ILEUM CAUSING INTESTINAL OBSTRUCTION IN WHICH MRI WAS USEFUL IN PREOPERATIVE DIAGNOSIS 2004
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References (3)
- A CASE OF ENDOMETRIOSIS OF THE ILEUM CAUSING INTESTINAL OBSTRUCTION IN WHICH MRI WAS USEFUL IN PREOPERATIVE DIAGNOSIS via openalex
- INTESTINAL ENDOMETRIOSIS via openalex
- W1529370586 via openalex
Cited by (2)
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0
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