Ibba F, Viglione G C, Sanfelici G, Gallingani R, Foco A, Garbarini A, Bertoldo U, Serenthà U, Morechioli N, Remonda G, Sigaudo G
Arch Sci Med (Torino). 1979 Jul-Sep;136(3):391-400.
Three cases of intestinal occlusion due to endometriosis, presenting as surgical emergencies, are reported. After a review of the literature on the incidence of endometriosis, the mechanisms underlying the occlusive process and the various anatomopathological pictures are presented. The reasons why no correct preoperative diagnosis was possible and the problems encountered in differential diagnosis, particularly with respect to carcinoma of the colon and the sigma-rectum, are discussed. It is considered that correct preoperative diagnosis is very important to avoid subjecting the non-cancer patient to destructive surgery. The therapy recommended for intestinal occlusion due to suspected endometriosis is presented.
本文报告了3例因子宫内膜异位症导致肠梗阻的病例，这些病例均表现为外科急症。在回顾了有关子宫内膜异位症发病率的文献后，介绍了梗阻过程的潜在机制和各种解剖病理学表现。讨论了无法进行正确术前诊断的原因以及鉴别诊断中遇到的问题，特别是与结肠癌和乙状结肠癌的鉴别。认为正确的术前诊断对于避免对非癌症患者进行破坏性手术非常重要。本文还介绍了针对疑似子宫内膜异位症导致的肠梗阻所推荐的治疗方法。
