Hellmig S, Stüber E, Schulte C, Katsoulis S, Schreiber S, Fölsch U R
I. Medizinische Klinik des Universitätsklinikums der Christian-Albrechts-Universität zu Kiel, Germany.
Z Gastroenterol. 2002 May;40(5):291-4. doi: 10.1055/s-2002-30109.
Intestinal endometriosis is the most frequent extragenital manifestation of this disease. Sometimes patients even present with acute bowel obstruction. We report on a 46-year-old woman complaining about recurrent sanguineous and mucous diarrhea and spasms for several years. Colonoscopy showed a stenosis in the sigmoid colon without macroscopically visible alterations of the mucosa. Computertomography, ultrasound and barium contrast enema did not provide us with further information about the origin of the stenosis. Biopsies out of the mucosa at the stenosis showed typical endometriosis tissue. After starting a conservative therapy with GnRH-agonist gosereline the patient became completely free of symptoms. The coincidence of endometriosis and M. Crohn has to be taken into consideration. Therapy planning should include a close co-operation with gynaecologists and surgeons to transfer the patient to surgical intervention when needed.
肠道子宫内膜异位症是该病最常见的生殖器外表现。有时患者甚至会出现急性肠梗阻。我们报告了一名46岁女性，她多年来一直抱怨反复出现血性和黏液性腹泻以及痉挛。结肠镜检查显示乙状结肠有一处狭窄，黏膜在肉眼下无明显改变。计算机断层扫描、超声和钡剂灌肠造影未为我们提供有关该狭窄起源的更多信息。狭窄处黏膜的活检显示为典型的子宫内膜异位症组织。在开始使用促性腺激素释放激素（GnRH）激动剂戈舍瑞林进行保守治疗后，患者症状完全消失。必须考虑子宫内膜异位症与克罗恩病的并存情况。治疗方案的制定应包括与妇科医生和外科医生密切合作，以便在需要时将患者转至手术治疗。
