Intestinal endometriosis-A rare cause of colonic perforation

查看全文 作　　者：Neeraj Kumar [1]Garg;Nitin Babulal [2]Bagul;Sam [1]Doughan;Paul Harold [1]Rowe

机构地区：[1]Eastbourne Hospital, Eastbourne, East Sussex BN21 2UD, United Kingdom;[2]University Hospital of North Tees, Stockton TS19 8PE, United Kingdom

出　　处：《World Journal of Gastroenterology》索引2009年第15卷第5期,共3页

摘　　要：Endometriosis is the ectopic growth of viable endometrium outside the uterus, affecting approximately 7% of females. It commonly affects pelvic structures including the bowel. Perforation of the colon by endometriosis is very rare and the patients generally present with an asymptomatic or painful pelvic mass, often in the left iliac fossa. Our patient presented acutely unwell and her symptoms were more suggestive of pyelonephritis or diverticulitis. We therefore report an unusual cause of acute abdomen. The purpose of the following case report is to elucidate certain diagnostic and therapeutic problems of the disease, concerning both surgeons and gynaecologists. In summary, intestinal endometriosis should be considered in the differential diagnosis of all post-menarche women with episodic gastrointestinal symptoms. A past history of endometriosis or co-existent gynaecological symptoms should increase the index of suspicion, and laparoscopy prior to formal laparotomy should be considered. Our patient, in retrospect, had a history of mild endometriosis, but we feel that this case serves as a reminder of a rare, but important, differential diagnosis of acute abdomen in females. 关键词：肠疾病结肠穿孔子宫内膜异位结肠切除手术

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Intestinal endometriosis-A rare cause of colonic perforation

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