以肠梗阻为表现的远端回肠子宫内膜异位症：一例报告
Distal ileal endometriosis as a cause of ileus: a case report.
作者信息
Gregorić Pavle, Doklestić Krstina, Pandurović Milena, Radenković Dejan, Karadzić Borivoje, Raspopović Milos, Micev Marjan, Ivancević Nenad, Sijacki Ana, Bajec Djordje
机构信息
Clinic for Emergency Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
出版信息
Srp Arh Celok Lek. 2012 Mar-Apr;140(3-4):225-8.
INTRODUCTION
Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common, it is rarely manifested as an acute bowel obstruction secondary to ileal endometriosis. Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction.
CASE OUTLINE
A 41-year-old woman presented with symptoms and signs of an acute small bowel obstruction requiring emergency surgery. A small bowel resection was performed with end-to-end anastomosis. Histological examination demonstrated endometriosis with fibrosis and stricture of the ileal segment. This case is important to report as it highlights the diagnostic difficulty this particular condition pre sents to an emergency surgeon.
CONCLUSION
In the differential diagnosis, endometriosis should be taken into consideration when assessing females of reproductive age who present with abdominal pain and small bowel obstruction.
引言
子宫内膜异位症是一种影响育龄女性的良性疾病。虽然肠道子宫内膜异位症很常见，但很少表现为继发于回肠子宫内膜异位症的急性肠梗阻。在评估患有急性小肠梗阻的育龄女性时，应将肠道子宫内膜异位症视为鉴别诊断之一。
病例概述
一名41岁女性出现急性小肠梗阻的症状和体征，需要进行急诊手术。进行了小肠切除术并端端吻合。组织学检查显示为子宫内膜异位症，伴有回肠段纤维化和狭窄。报告该病例很重要，因为它凸显了这种特殊情况给急诊外科医生带来的诊断困难。
结论
在鉴别诊断中，评估出现腹痛和小肠梗阻的育龄女性时应考虑子宫内膜异位症。
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