Kuriyama Naotaka, Ando Koji, Hu Qingjiang, Miyashita Yu, Fujimoto Yoshiaki, Jogo Tomoko, Hokonohara Kentaro, Nakanishi Ryota, Hisamatsu Yuichi, Kimura Yasue, Tsurumaru Daisuke, Kohashi Kenichi, Oda Yoshinao, Oki Eiji, Nishimura Masataka, Mori Masaki
Department of Surgery and Science, Kyushu University, 3-1-1 Maidashi, Fukuoka, Fukuoka, 812-8582, Japan.
Department of Clinical Radiology, Kyushu University, 3-1-1 Maidashi, Fukuoka, Fukuoka, 812-8582, Japan.
Surg Case Rep. 2020 Aug 14;6(1):211. doi: 10.1186/s40792-020-00977-9.
Rectal endometriosis is a rare disease. A definitive diagnosis prior to surgery is often difficult. We encountered a patient with rectal sub-obstructive endometriosis that was treated by robot-assisted laparoscopic low anterior resection.
A 43-year-old woman visited our hospital with suspected stenosis caused by upper rectal cancer. She had a 2-year history of constipation. We were unable to confirm the diagnosis through detailed examinations, including laparoscopy. Robot-assisted laparoscopic low anterior resection with D3 lymph node dissection was performed for both diagnosis and treatment. The postoperative specimen showed a submucosal tumor. The pathological examination confirmed rectal endometriosis.
We herein describe a rare case of obstructive rectal endometriosis that we were unable to diagnose preoperatively. Robotic surgery was useful in this case, which involved extensive pelvic adhesion.
直肠子宫内膜异位症是一种罕见疾病。术前明确诊断往往困难。我们遇到一例直肠亚梗阻性子宫内膜异位症患者，通过机器人辅助腹腔镜低位前切除术进行治疗。
一名43岁女性因疑似上段直肠癌导致的狭窄前来我院就诊。她有2年便秘病史。通过包括腹腔镜检查在内的详细检查，我们无法确诊。为了诊断和治疗，进行了机器人辅助腹腔镜低位前切除术并清扫D3淋巴结。术后标本显示为黏膜下肿瘤。病理检查确诊为直肠子宫内膜异位症。
我们在此描述了一例罕见的梗阻性直肠子宫内膜异位症病例，术前未能诊断。机器人手术在该伴有广泛盆腔粘连的病例中很有用。
