Gupta R K, Agrawal C S, Yadav R P, Uprety D, Sah P L
Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2011 Apr-Jun;51(182):83-6.
Endometriosis is often seen in gynecology practice and is treated medically. However, intestinal involvement of endometriosis causing acute large bowel obstruction is uncommon and is difficult to differentiate from malignancy before surgery, owing to its similar colonoscopic and radiologic findings. We report a successfully-treated case of a 30-year-old woman in which endometrial infiltration of the large bowel caused acute obstruction, requiring emergency surgery to relieve the symptom and confirm the diagnosis. We present this unusual disease in general surgical practice and also review the literature.
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急性大肠梗阻的情况并不常见，且由于其结肠镜和影像学表现相似，术前很难与恶性肿瘤相鉴别。我们报告了一例成功治疗的30岁女性病例，该病例中大肠的子宫内膜浸润导致急性梗阻，需要紧急手术以缓解症状并确诊。我们介绍了这一普通外科实践中不常见的疾病，并对相关文献进行了综述。
