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Ileal and rectal endometriosis treated by laparoscopic surgery Norimitsu YABUSAKI 1 , Akiharu ISHIYAMA 1 , Hiroaki UDA 1 , Kazuhiro ESAKA 1 1Department of Surgery, Okazaki City Hospital Keyword: 子宮内膜症 , 腹腔鏡下手術 , 腸閉塞 pp.197-202
Published Date 2012/4/15
DOI https://doi.org/10.11477/mf.4426100764
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 The patient was a 42-year-old female who was found having ileus which was diagnosed by an abdominal CT scan. The symptom improved by ileus tube. However, small bowel series showed stenosis of the terminal ileum and colon fiber revealed obstruction of the rectum. We predicted endometriosis of the ileum and rectum from the patient's history and physical examination. Resection of the left ovary, ileocecal resection, and low anterior resection of the rectum were performed by laparoscopic surgery. Intraoperative findings showed severe inflammation around the left ovary with stenosis of the nearby rectum. Pathologically, ileal and rectal endometriosis was diagnosed. Hormone was given as adjuvant therapy. We report a patient with ileal and rectal endometriosis causing ileus, treated successfully by laparoscopic surgery, with literature review.


Copyright © 2012, 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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