Department of Surgery, Ealing Hospital, Uxbridge Road, Southall, Middlesex, UK.
World J Emerg Surg. 2010 Sep 16;5:27. doi: 10.1186/1749-7922-5-27.
Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common it is rare for the condition to manifest as an acute bowel obstruction secondary to ileocaecal and appendicular endometriosis. This case is important to report as it highlights the diagnostic difficulty this particular condition presents to an emergency surgeon.
We present the case of a 33 year old female of Asian origin who presented with symptoms and signs of an acute small bowel obstruction. A right hemicolectomy for suspected malignancy was performed with an ileocolic anastomosis. Histological examination demonstrated extensive endometriosis of the appendix and ileocaecal junction.
Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. A high index of suspicion is required to arrive at a diagnosis of this elusive condition.
子宫内膜异位症是一种影响育龄女性的良性疾病。尽管肠子宫内膜异位症很常见，但由于回盲部和阑尾子宫内膜异位症而导致急性肠梗阻的情况却很少见。这个病例很重要，因为它突出了这种特殊情况给急诊外科医生带来的诊断困难。
我们报告了一例 33 岁的亚裔女性，她出现了急性小肠梗阻的症状和体征。由于疑似恶性肿瘤，进行了右半结肠切除术，并进行了回肠结肠吻合术。组织学检查显示阑尾和回盲部交界处有广泛的子宫内膜异位症。
在评估育龄期女性急性小肠梗阻时，应将肠子宫内膜异位症作为鉴别诊断。为了明确诊断这种难以捉摸的疾病，需要高度怀疑。
