子宫内膜异位症继发产褥期回肠穿孔：病例报告及文献复习
Puerperal ileal perforation secondary to endometriosis: Case report and literature review.
作者信息
Albareda Judit, Albi Manuel Victor, Sosa Grevelyn, Cano Ana, Macello Manuel Emilio, Albi Martin Beatriz
机构信息
Department of Obstetrics and Gynaecology, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
Department of Obstetrics and Gynaecology, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
出版信息
Taiwan J Obstet Gynecol. 2016 Feb;55(1):121-4. doi: 10.1016/j.tjog.2014.06.010.
OBJECTIVE
Bowel endometriosis is an uncommon disease that can cause serious complications and may require immediate medical attention. We wish to remind about bowel perforation caused by endometriosis, its diagnostic difficulty, and the need or urgent management in late pregnancy and puerperium.
CASE REPORT
We present a 38-year-old woman, which presented with bowel perforation requiring urgent surgery. A pathological exam disclosed deep ileal infiltrative endometriosis.
CONCLUSION
Even though bowel endometriosis is a rare complication, it should be considered in the differential diagnosis of severe abdominal pain in late pregnancy or puerperium. A multidisciplinary management of these patients is needed.
目的
肠道子宫内膜异位症是一种罕见疾病，可导致严重并发症，可能需要立即就医。我们希望提醒注意子宫内膜异位症引起的肠道穿孔、其诊断困难以及妊娠晚期和产褥期紧急处理的必要性。
病例报告
我们报告一名38岁女性，因肠道穿孔需要紧急手术。病理检查显示为深部回肠浸润性子宫内膜异位症。
结论
尽管肠道子宫内膜异位症是一种罕见的并发症，但在妊娠晚期或产褥期严重腹痛的鉴别诊断中应予以考虑。这些患者需要多学科管理。
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