Meza Flores José Luis, Ruiz Yaya Karin, Ramírez Anglas Freddy Luis, Yabar Berrocal Alejandro
Médico Gastroenterólogo, Hospital EsSalud II Huamanga.
Rev Gastroenterol Peru. 2012 Oct-Dec;32(4):405-10.
We report the case of a patient of 40 years, in childbearing age with clinical abdominal obstruction, diagnostic laparoscopy revealed an ileal stenosing tumor, after intestinal resection their histopathological study found endometrial epithelium and stroma confirming the diagnosis of endometrial ileal endometriosis. It is the revision of this pathology. In young patients without previous surgery and with a history of painful periods bloating associated with defecation rhythm alteration, endometriosis should be included in the differential diagnosis of intestinal obstruction.
我们报告了一例40岁处于育龄期的患者,其临床症状为腹部梗阻,诊断性腹腔镜检查发现回肠有狭窄性肿瘤,肠道切除术后的组织病理学研究发现子宫内膜上皮和间质,从而确诊为回肠子宫内膜异位症。本文对该病例进行回顾。对于无既往手术史、有经期疼痛伴腹胀且排便节律改变病史的年轻患者,肠梗阻的鉴别诊断应考虑子宫内膜异位症。