A CASE OF ENDOMETRIOSIS OF THE ILEUM CAUSING INTESTINAL OBSTRUCTION IN WHICH MRI WAS USEFUL IN PREOPERATIVE DIAGNOSIS

In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 2004 · vol. 65(11) , pp. 2930–2933 · doi:10.3919/jjsa.65.2930 · W2315171342
article OA: bronze CC0 ⤵ 10 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-08

This case report describes a 43-year-old female with ileal endometriosis causing intestinal obstruction, where preoperative MRI was instrumental in diagnosis due to characteristic signal intensities and the presence of hematoma.

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Abstract

症例は43歳,女性.平成12年1月頃より腹痛を自覚.その後腹痛の増悪に加え腹部膨満感,嘔気を認めたため, 1月31日当院救急外来を受診.腹部CT検査等で回腸末端付近の腫瘤性病変による腸閉塞と診断し,入院となった.本症例は,腫瘤性病変に対する腹部MRI検査で, T1強調像および脂肪抑制T1強調像で高信号, T2強調像で低信号を呈し血腫を伴った腫瘤が考えられたため,術前に腸管子宮内膜症と診断し,手術を施行した.腸管子宮内膜症は,転移性消化管腫瘍などとの鑑別も含め術前診断が困難であった症例の報告が多いが, MRI検査による術前の検討が,腸管子宮内膜症の診断に有用であると考えられた.

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Condition tags

endometriosis

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