Lehmann K, Krug A
MMW Munch Med Wochenschr. 1976 Feb 6;118(6):167-70.
The diagnosis and treatment of the rare stenosis of the sigmoid due to an attack of endometriosis is discussed in relation to 5 cases. Particular attention must be paid to the lack of involvement of the intestinal mucosa at the preliminary examination. The problems of definitive diagnosis arising from this, which can usually only be discovered by laparotomy, are gone into. Surgical treatment, in the form of a resection to maintain continuity is the appropriate and optimal therapy for this disease. But extensive mutilating operations on establishment of an endometriotic stenosis are not justified.
结合5例病例讨论了因子宫内膜异位症发作导致的罕见乙状结肠狭窄的诊断和治疗。在初步检查时,必须特别注意肠道黏膜未受累的情况。探讨了由此产生的通常只能通过剖腹手术才能发现的明确诊断问题。以切除手术来维持肠道连续性的手术治疗是这种疾病的合适且最佳治疗方法。但是,对于因子宫内膜异位症导致的狭窄进行广泛的致残性手术是不合理的。