Runte F, Reichert B, Majewski A
Rontgenblatter. 1987 May;40(5):161-4.
Preoperative diagnosis of symptomatic colorectal endometriosis is often difficult. Hence, the x-ray findings of eight woman patients with confirmed affection of the colon with endometriosis foci were evaluated together with the clinical, surgical and histological findings. In 50% of the cases rectal haemorrhages were the most frequently occurring sign. In three-quarters of the cases the colon sigmoideum was involved. Radiologically it was possible to prove in 37.5% each of the cases that there was a polypoid lesion and an irregular concentric stenosis of the intestinal lumen. In 25% of the cases we found a complete stenosis of the intestinal lumen combined with ileus. X-ray sign pattern of colorectal endometriosis, however, is not pathognomonic.
有症状的结直肠子宫内膜异位症的术前诊断通常很困难。因此,对8例经确诊结肠有子宫内膜异位病灶的女性患者的X线检查结果,连同临床、手术及组织学检查结果一起进行了评估。在50%的病例中,直肠出血是最常见的症状。四分之三的病例乙状结肠受累。放射学检查在37.5%的病例中证实存在息肉样病变及肠腔不规则同心性狭窄。在25%的病例中发现肠腔完全狭窄并伴有肠梗阻。然而,结直肠子宫内膜异位症的X线征象并非具有特异性。