Department of Gastroenterology, Chuno Kosei Hospital, Gifu, Japan.
Department of Gastroenterology, Gifu University Graduate School of Medicine, Gifu, Japan.
Med Ultrason. 2020 May 11;22(2):243-246. doi: 10.11152/mu-2000. Epub 2019 Aug 4.
Bowel endometriosis is a condition caused by endometrial glands and stroma infiltrating the bowel wall and reaching the subserous fat tissue or the adjacent subserous plexus. A 42-year-old woman with changes in stool habits, nausea, and stomach aches experienced complete obstruction in the rectum. Endoscopic ultrasound demonstrated a low echoic lesion outside the rectal mucosa and endoscopic ultrasound-guided fine needle aspiration confirmed the diagnosis of bowel endometriosis. The clinical characteristics of bowel endometriosis are unspecific and this condition is sometimes misdiagnosed as a malignant tumor, irritable bowel syndrome, or any other colorectal disorder. Our aim is to show that endoscopic ultrasound-guided fine needle aspiration might be helpful for bowel endometriosis diagnosis and exclusion of other malignant disease.
肠子宫内膜异位症是一种由子宫内膜腺体和基质浸润肠壁并到达浆膜下脂肪组织或邻近的浆膜下丛的疾病。一位 42 岁的妇女出现了排便习惯改变、恶心和胃痛，直肠完全梗阻。内镜超声显示直肠黏膜外低回声病变，内镜超声引导下细针抽吸术确诊为肠子宫内膜异位症。肠子宫内膜异位症的临床特征不特异，有时会误诊为恶性肿瘤、肠易激综合征或其他结直肠疾病。我们的目的是表明内镜超声引导下细针抽吸术可能有助于肠子宫内膜异位症的诊断和排除其他恶性疾病。
