A Case of Intestinal Endometriosis with Lymphovascular Invasion

In: The Japanese Journal of Gastroenterological Surgery · 2014 · vol. 47(6) , pp. 351–356 · doi:10.5833/jjgs.2013.0178 · W2330572612
article OA: hybrid CC0 ⤵ 2 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-07

A 38-year-old woman presenting with recurrent intestinal obstruction was diagnosed with intestinal endometriosis with lymphovascular invasion upon resection of a cecal mass.

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Abstract

腸管子宮内膜症は,腸管で子宮内膜組織が異所性に増殖するまれな疾患である.症例は38歳の女性で,3か月前から腸閉塞症状を繰り返すため精査目的で当院へ紹介された.腹部造影CTで回盲部の腫瘤影と多発子宮筋腫を認めた.月経に随伴する腹部症状と,CA125の上昇より腸管子宮内膜症を疑い回盲部切除術を施行した.組織学的診断では回盲部に粘膜下層から漿膜下層にかけて子宮内膜組織の増生を認め,一部リンパ管侵襲を伴っていた.腸管子宮内膜症のリンパ行性進展を示唆する貴重な症例であり,文献的考察を加え報告する.

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endometriosis

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