Roger Natacha, Munoz-Bongrand Nicolas, Vila Alain, Allez Matthieu, Gornet Jean-Marc, Cattan Pierre, Lemann Marc, Sarfati Emile
Services de Chirurgie Générale, Digestive et Endocrinienne, Hôpital Saint-Louis, AP-HP, Paris.
Gastroenterol Clin Biol. 2005 Nov;29(11):1157-9. doi: 10.1016/s0399-8320(05)82181-5.
Endometriosis is a common condition, but its exclusive localization on the ileum is very rare. Unless there is catamenial exacerbation of symptoms, and considering the lack of specificity of results, diagnosis can be difficult. We report the case of a 50 year-old woman presenting with chronic pain in the right lower quadrant. Initial explorations revealed an ileal tumor which was not characterized before the occurrence of acute small bowel obstruction. Ileo-caecal resection by laparotomy relieved the symptoms and alllesions were removed. Diagnosis of ileal endometriosis was made by pathological examination of the resected specimen.
子宫内膜异位症是一种常见病症,但其仅局限于回肠的情况非常罕见。除非有经期症状加重,且考虑到检查结果缺乏特异性,诊断可能会很困难。我们报告一例50岁女性患者,其表现为右下腹慢性疼痛。初步检查发现一个回肠肿瘤,在急性小肠梗阻发生之前未明确其特征。通过剖腹手术进行回盲部切除缓解了症状,并切除了所有病变。通过对切除标本的病理检查确诊为回肠子宫内膜异位症。