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首页> 外文期刊>Journal of Medical Case Reports >Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report
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Rectal endometriosis causing colonic obstruction and concurrent endometriosis of the appendix: a case report

机译：直肠子宫内膜异位症引起结肠阻塞和并发子宫内膜异位症：一例报告

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Introduction Endometriosis is a clinical entity which presents with functioning endometrial tissue at sites outside the uterus. Bowel endometriosis is usually asymptomatic, but it may show non-specific symptoms. The presence and/or association of appendiceal endometriosis, concomitant with rectal endometriosis, is possible. Case presentation A 36-year-old Greek woman was admitted to the emergency room of our hospital with signs of acute abdomen. On physical examination, our patient had a painful distended abdomen. Digital examination revealed an empty rectum and bowel obstruction was diagnosed. Our patient underwent exploratory laparotomy and rectum stenosis (almost complete obstruction) was observed. The bowel stenosis was resected, and temporary colostomy and appendectomy were performed. The pathology report showed endometriosis of the colon and the appendix, and our patient received medical treatment for endometriosis. Six months after this operation our patient had another surgery for restoration of large bowel continuity. No endometriosis was found. Our patient was doing well at the one-year follow up. Conclusion Endometriosis of the bowel is a disease that may cause large bowel obstruction. In women of reproductive age, the surgeon should consider endometriosis as a differential diagnosis in case of various gastrointestinal symptoms.
机译：简介子宫内膜异位症是一种临床表现，在子宫外部位表现为功能正常的子宫内膜组织。肠子宫内膜异位通常无症状，但可能表现出非特异性症状。与直肠子宫内膜异位症同时发生的阑尾子宫内膜异位症的存在和/或关联是可能的。病例介绍一名36岁的希腊妇女因急腹症被送入我院急诊室。经身体检查，我们的患者腹部胀大。数字检查发现直肠空虚，并诊断出肠梗阻。我们的患者进行了探索性剖腹手术并观察到直肠狭窄（几乎完全阻塞）。切除肠管狭窄，并进行临时结肠造口术和阑尾切除术。病理报告显示结肠和阑尾子宫内膜异位，我们的患者接受了子宫内膜异位的药物治疗。手术六个月后，我们的患者又进行了一次大肠连续性恢复手术。未发现子宫内膜异位。我们的患者在一年的随访中表现良好。结论肠子宫内膜异位是一种可能引起大肠梗阻的疾病。在育龄妇女中，外科医生应考虑子宫内膜异位症作为各种胃肠道症状的鉴别诊断。

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