Blanco Barrios A, Zancada Díaz De Entre-Sotos F, Rodríguez Pérez A
Servicio de Medicina Interna, Hospital Virgen del Puerto, Plasencia, Cáceres.
An Med Interna. 2003 Dec;20(12):624-6.
Nodular lymphoid hyperplasia of the gastrointestinal tract associated to endometriosis is an uncommon cause of chronic pseudo-obstruction and malabsortion. The case of a 32-year-old woman who suffered from this syndrome for one a half years is described. Diagnosis was achieved by laparotomy, which disclosed swelling and inflammation of the 30 cm terminal yeyunal portion. Removal of the involved intestine and side-to-side anastomosis were performed. The pathological findings were: follicular lymphoid hyperplasia with mucosal ulcers an fissures inflammatory pseudo-polyps, chronic deep enteritis and areas of endometriosis. A favourable outcome followed surgery.
与子宫内膜异位症相关的胃肠道结节性淋巴组织增生是慢性假性肠梗阻和吸收不良的罕见原因。本文描述了一名32岁女性患此综合征一年半的病例。通过剖腹手术确诊,术中发现距回肠末端30厘米处肠段肿胀并伴有炎症。切除受累肠段并进行端侧吻合。病理结果显示:滤泡性淋巴组织增生伴黏膜溃疡、裂隙、炎性假息肉、慢性深部肠炎以及子宫内膜异位区域。手术后预后良好。