Japanese

A case of ileal stenosis caused by ileocecal endometriosis successfully treated by laparoscopic assisted surgery Yasuyuki MIYAKURA 1 , Hisanaga HORIE 1 , Koji KOINUMA 1 , Masayuki KOJIMA 1 , Yoshikazu YASUDA 1 , Hirotoshi KAWADA 2 1Department of Surgery, Jichi Medical University 2Department of Pathology, Jichi Medical University Keyword: 回盲部子宮内膜症 , 腹腔鏡下手術 , 回腸狭窄 pp.313-316
Published Date 2009/6/15
DOI https://doi.org/10.11477/mf.4426100342
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 We report a case of ileal stenosis caused by ileocecal endometriosis successfully treated by laparoscopic assisted ileocecal resection. A 40-year-old woman complained of abdominal pain associated with menstruation and was suspected to have intestinal endometriosis. She was referred to the Department of Gastroenterology at Jichi Medical University Hospital for further investigation and treatment. Abdominal CT showed a dilated terminal ileum with a thickened intestinal wall. Double balloon enteroscopy revealed ileal stenosis with a smooth reddish mucosal surface. Gonadotropin-releasing hormone agonist therapy improved her symptoms, but she wanted to have children in the near future. Therefore the patient was referred for surgical therapy to have a laparoscopic assisted ileocecal resection. Pathological diagnosis of the resected specimen was compatible with ileal endometriosis. Minimally invasive surgery is an ideal treatment for intestinal endometriosis in selected patients.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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