Eyers T, Morgan B, Bignold L
Aust N Z J Surg. 1978 Dec;48(6):639-43. doi: 10.1111/j.1445-2197.1978.tb04919.x.
Endometriosis is a common disease of women which occasionally causes serious symptoms in virtue of involvement of the distal large intestine. Two cases are reported, illustrating opposite ends of the spectrum of this disorder, one presenting with a complete large-bowel obstruction, and the other with periodical per-rectal bleeding. Endometriosis in these locations can closely mimic carcinoma, and from a consideration of our cases and the literature, those features which might help to distinguish one from the other are discussed. The treatment of endometriosis itself is briefly outlined. Either to avoid unnecessarily radical surgery, or to plan appropriate specific treatment at the time of surgery for the colorectal lesion, a preoperative diagnosis is desirable, but it is unlikely unless the clinician is aware of this unusual form of endometriosis.
子宫内膜异位症是一种常见的女性疾病，偶尔会因累及远端大肠而引发严重症状。本文报告了两例病例，展示了这种疾病的不同极端情况，一例表现为完全性大肠梗阻，另一例表现为周期性直肠出血。这些部位的子宫内膜异位症可能与癌极为相似，结合我们的病例及文献，讨论了有助于两者鉴别的特征。简要概述了子宫内膜异位症本身的治疗方法。为避免不必要的根治性手术，或在对结直肠病变进行手术时规划适当的特异性治疗，术前诊断是可取的，但除非临床医生了解这种不寻常的子宫内膜异位症形式，否则不太可能实现。
