Lin Yu-Hung, Kuo Li-Jen, Chuang Ai-Ying, Cheng Tsun-I, Hung Chi-Feng
Department of Surgery, Taipei Veterans General Hospital, Taiwan, ROC.
J Chin Med Assoc. 2006 Jan;69(1):47-50. doi: 10.1016/S1726-4901(09)70111-X.
Endometriosis is often seen in gynecology practice and is treated medically. However, intestinal involvement of endometriosis causing obstruction is relatively uncommon and is hard to differentiate from malignancy before surgery. Herein, we present a case of acute colonic obstruction caused by rectal endometriosis. Repeat colonoscopic biopsy and imaging studies could not differentiate the lesion from malignancy. Segmental resection with anastomosis was performed to relieve the symptom and confirm the diagnosis. We present this unusual disease in general surgical practice and also review the literature. The incidence, symptoms, diagnosis, treatment, and risk of malignancy of intestinal endometriosis are discussed.
子宫内膜异位症在妇科临床中较为常见，通常采用药物治疗。然而，子宫内膜异位症累及肠道导致梗阻相对少见，术前难以与恶性肿瘤相鉴别。在此，我们报告一例由直肠子宫内膜异位症引起的急性结肠梗阻病例。多次结肠镜活检及影像学检查均无法将该病变与恶性肿瘤区分开来。为缓解症状并明确诊断，实施了肠段切除吻合术。我们在普通外科临床中呈现这一罕见病例，并对相关文献进行回顾。文中讨论了肠道子宫内膜异位症的发病率、症状、诊断、治疗及恶性肿瘤风险。
