| Popis: |
We report on a case of very rare endometriosis of the ileum causing intestinal obstruction and present a review of 13 cases of the disease reported in Japan.A 38-year-old woman visited the hospital because of intestinal obstruction. After conducting decompression of the intestinal tract with a long tube, enterography, abdominal CT, abdominal ultrasonography, and enema were performed, all clearly showing occlusion of the ileum and bilateral ovarian cystomas.Laparotomy findings revealed marked adhesions in the pelvic cavity, bilateral ovarian cystomas, and tumorous lesions at the terminal portion of the ileum and at the cecum. Frozen section diagnosis showed the tumor in the ileum to be endometriosis. From the above, the diagnosis of intrinsic endometriosis and endometriosis of the ileum and cecum causing intestinal obstruction was made. Bilateral adnexectomy, simple total hysterectomy, and ileocecal excision were performed.Decompression therapy against intestinal obstruction enabled elective surgery on the basis of a more detailed preoperative diagnosis, and intraoperative frozen section diagnosis of the lesions was considered important for performing proper operation. Endometriosis of the small intestine, although a rare disease, must be kept in mind as the underlying disease of intestinal obstruction. |
