Le Borgne J, Nomballais M F, Lehur P A, Guiberteau-Canfrere V, Moussu P, Fumoleau P
Clinique chirurgicale II, HRG Laënnec, CHU, Nantes.
Ann Chir. 1995;49(1):73-5.
Intestinal endosalpingiosis (ES) involving colon or small bowel is a rare, misleading disease. Two different aspects must be distinguished:--serosal involvement, more or less disseminated: this form is asymptomatic or associated with ascites leading to the diagnosis of peritoneal pseudo-carcinomatosis; in this form of typical or atypical endosalpingiosis of florid type, no malignancy is found on histology;--parietal involvement, leading to stenosis or intestinal perforation with enterocutaneous fistula: this malignant form of endosalpingiosis is similar to primary papillary peritoneal carcinoma or stage III ovarian carcinoma. These two forms of ES are studied on 2 cases illustrating the overlap between typical benign ES, proliferating ES and malignant ES.
累及结肠或小肠的肠道子宫内膜异位症（ES）是一种罕见且易误诊的疾病。必须区分两个不同方面：——浆膜受累，程度不一地播散：这种形式无症状或伴有腹水，导致诊断为腹膜假癌；在这种典型或非典型的活跃型子宫内膜异位症中，组织学检查未发现恶性肿瘤；——壁层受累，导致狭窄或肠穿孔并形成肠皮肤瘘：这种恶性形式的子宫内膜异位症类似于原发性腹膜乳头状癌或III期卵巢癌。通过2例病例研究这两种形式的ES，以说明典型良性ES、增生性ES和恶性ES之间的重叠情况。
