Mundi Sánchez-Ramade J L, Carvia Ponsaille R, Pérez Ramón J A, Carmona Soria I, Lavín Castejón I, Trapero Martínez A, Fernández Pérez R, Palacios Pérez A
Servicio de Digestivo, Hospital Clínico Universitario San Cecilio, Granada.
Gastroenterol Hepatol. 1998 May;21(5):224-6.
Endometriosis localized in the intestinal wall is not an infrequent finding. Diagnosis is difficult given the diverse symptomatology presented with unspecific abdominal pain being the most common. Implantation of endometrial tissue in the intestinal wall may involve the mucosa and present as rectorhagia, with colonscopic exploration providing diagnosis by biopsy of the affected area. In other cases this may only involve the intestinal wall producing very varied symptomatology. Presentation as a picture of colon obstruction is little reported. The main problem is its difficult differential diagnosis with neoplasm which, in most cases, leads to surgery. A case of colon obstruction provoked by implantation of endometrial tissue in the wall of the sigma which was surgically resolved is herein presented.
子宫内膜异位症局限于肠壁并不少见。鉴于其症状多样，其中最常见的是不具有特异性的腹痛，所以诊断困难。子宫内膜组织植入肠壁可能累及黏膜，表现为直肠出血，通过结肠镜检查对受影响区域进行活检可作出诊断。在其他情况下，这可能仅累及肠壁，产生非常多样的症状。以结肠梗阻表现的情况报道较少。主要问题是其与肿瘤的鉴别诊断困难，在大多数情况下会导致手术治疗。本文介绍了一例因子宫内膜组织植入乙状结肠壁引起结肠梗阻并通过手术解决的病例。
