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Intestinal Endometriosis of the Ileocecal Region, Report of a Case Chiharu Hirota 1 1The Second Department of Internal Medicine, Faculty of Medicine, Kyushu University Keyword: 腸管子宮内膜症 , 回盲部 , 腸閉塞 pp.1375-1380
Published Date 1998/9/25
DOI https://doi.org/10.11477/mf.1403103826
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 A 28-year-old female was admitted in July, 1993, under the diagnosis of intestinal obstruction. Barium enema examination revealed that the patient had a smooth and extrinsic filling defect at the ileocecal valve and stricturing in the terminal ileum. Colonoscopy also revealed an eccentric submucosal tumor in the cecum, from which normal colonic mucosa was obtained with biopsy forceps, and stricturing of the ileocecal valve. The patient was treated by ileocecal resection under the tentative diagnosis of intestinal endometriosis. Histological examination of the resected specimen revealed that the adhesed ileum, cecum, and appendix was composed of nonneoplastic endometrial tissue infiltrating into the submucosa, the proper muscular layer and the serosa, and there was marked fibrosis in the latter two layers. These findings suggest that submucosal protrusion accompanied by stricturing is one of the features characteristic of intestinal endometriosis.


Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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