Deval Bruno, Rafii Arash, Felce Dachez Michele, Kermanash Reza, Levardon Michel
Department of Gynecology, Hôpital Beaujon, Clichy, France.
Am J Obstet Gynecol. 2002 Dec;187(6):1723-5. doi: 10.1067/mob.2002.128394.
Bowel obstruction resulting from endometriosis is an infrequently observed phenomenon in postmenopausal women. A 69-year-old woman without hormone replacement had clinical and radiologic findings consistent with a pelvic tumor invasive into the wall of the sigmoid colon. The patient underwent resection of the sigmoid colon and total hysterectomy. Histologic examination revealed endometrioma. This case documents the possible occurrence of symptomatic bowel endometriosis after years of a hormonally castrated state.
子宫内膜异位症导致的肠梗阻在绝经后女性中是一种罕见的现象。一名69岁未接受激素替代治疗的女性，其临床和影像学检查结果提示盆腔肿瘤侵犯乙状结肠壁。该患者接受了乙状结肠切除术和全子宫切除术。组织学检查显示为子宫内膜瘤。此病例证明了在多年处于激素去势状态后，仍可能发生有症状的肠道子宫内膜异位症。
