Podgaec Sergio, Gonçalves Manoel Orlando, Klajner Sidney, Abrão Mauricio Simões
Hospital Israelita Albert Einstein, São Paulo, Brazil.
Sao Paulo Med J. 2008 Jul;126(4):242-4. doi: 10.1590/s1516-31802008000400012.
Endometriosis is a common affliction that may affect the intestinal tract. The objective of this case report was to describe an unusual clinical presentation of this form of the disease.
The patient was a 35-year-old woman with epigastric pain that only occurred during menstruation, who had a history of bladder endometriosis. Endoscopy of the upper digestive tract showed normal results. Transvaginal ultrasound and nuclear magnetic resonance of the pelvis showed a lesion involving the ileocecal junction and appendix, measuring 30 x 22/x/13/mm, that was suggestive of endometriosis. The patient underwent laparoscopic resection of the bowel segment affected by the disease, followed by anastomosis of the ileum and ascending colon for immediate restoration of intestinal transit. Histological analysis confirmed the diagnosis of endometriosis.
In young women, recurrent epigastric pain should be evaluated with regard to its relationship to menstruation, particularly if there is a history of endometriosis, since this may be a clinical sign that the disease is affecting the intestinal transit.
子宫内膜异位症是一种常见疾病，可能累及肠道。本病例报告的目的是描述这种疾病的一种不寻常临床表现。
患者为一名35岁女性，上腹部疼痛仅在月经期间出现，有膀胱子宫内膜异位症病史。上消化道内镜检查结果正常。经阴道超声和盆腔核磁共振显示一个累及回盲部和阑尾的病变，大小为30×22×13mm，提示为子宫内膜异位症。患者接受了腹腔镜下受疾病影响肠段切除术，随后进行回肠和升结肠吻合术以立即恢复肠道通畅。组织学分析确诊为子宫内膜异位症。
对于年轻女性，反复出现的上腹部疼痛应根据其与月经的关系进行评估，特别是如果有子宫内膜异位症病史，因为这可能是疾病影响肠道通畅的临床征象。
