Molina Gabriel A, Ramos Darwin R, Yu Alberto, Paute Patricio A, Llerena Paul S, Alexandra Valencia S, Fonseca Jose V, Morillo Jhonatan F, López Sandra C, Gutierrez Bernardo M
PGY4 Resident General Surgery, P.U.C.E, Quito, Ecuador.
PGY1 Resident General Surgery, U.C.E, Quito, Ecuador.
Case Rep Surg. 2019 Jan 31;2019:7024172. doi: 10.1155/2019/7024172. eCollection 2019.
Endometriosis is a common entity among fertile women which unfortunately manifests through variable symptomatology. Intestinal involvement in endometriosis is quite common and can simulate several diseases such as Crohn's disease, appendicitis, tubo-ovarian abscess, or malignant tumors. Intestinal obstruction due to endometriosis is rare, and preoperative diagnosis is difficult because the signs and symptoms are nonspecific and can be easily confused. In the case of patients without a history of endometriosis, diagnosis is further complicated. We present a case of a 41-year-old female patient. She presented to the emergency room with complete bowel obstruction and a mass in the cecum. Surgery was decided, and the patient underwent full recovery. Endometriosis was the final diagnosis for the observed condition.
子宫内膜异位症在育龄女性中很常见，不幸的是，其症状表现多样。肠道受累在子宫内膜异位症中相当常见，可模拟多种疾病，如克罗恩病、阑尾炎、输卵管卵巢脓肿或恶性肿瘤。子宫内膜异位症导致的肠梗阻很少见，术前诊断困难，因为其体征和症状不具特异性，容易混淆。对于没有子宫内膜异位症病史的患者，诊断会更加复杂。我们报告一例41岁女性患者。她因完全性肠梗阻和盲肠肿物就诊于急诊室。决定进行手术，患者完全康复。观察到的病情最终诊断为子宫内膜异位症。
