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直肠子宫内膜异位症——罕见的肠梗阻病例。病例报告。

Rectal endometriosis--rare case of intestinal obstruction. Case report.

作者信息

Rambuszek Paweł, Miłek Tomasz

出版信息

Pol Przegl Chir. 2013 Apr;85(4):219-22. doi: 10.2478/pjs-2013-0034.

Abstract

The study presented a case of a 32-year old female patient admitted to the department of surgery with symptoms of abdominal pain and retention of gas and stool. The abdominal X-ray examination showed signs of intestinal obstruction. Abdominal CT suggested the possibility of a cancerous lesion located in the colon. The patient was qualified for surgical intervention. An anterior rectal resection was performed. The histopathological examination revealed the presence of colorectal endometriosis. After two months the patient was subject to gastrointestinal continuity restoration. Endometriosis is a rare cause of intestinal obstruction, considering patients hospitalized in the department of general surgery.

摘要

该研究报告了一例32岁女性患者,因腹痛、腹胀及排便排气停止症状入住外科。腹部X光检查显示肠梗阻迹象。腹部CT提示结肠可能存在癌性病变。该患者符合手术干预条件,遂行直肠前切除术。组织病理学检查显示存在结直肠子宫内膜异位症。两个月后,患者接受了胃肠道连续性恢复手术。考虑到普通外科住院患者,子宫内膜异位症是肠梗阻的罕见病因。

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