A Case of Intestinal Obstruction Caused by Endometoriosis of The Ileum

Toshihiko Shinohara¹⁾, Hisashi Mizutani¹⁾, Satoru Shimono¹⁾, Takuo Hasegawa¹⁾ Nobuhiro Takahashi¹⁾, Hiroshi Nishii²⁾, Kazuhiko Othiai²⁾ Yasuhiko Endou³⁾ and Akihiko Sakai³⁾

¹⁾Department of Surgery The JIKEI University School of Medicine Aoto Hospital ²⁾Department of Gynecology The JIKEI University School of Medicine Aoto Hospital ³⁾Department of Pathology The JIKEI University School of Medicine Aoto Hospital

A 50-year-old woman who occasionally experimenced abdominal pain and distention at the time of menstruation. She was ultimately referred to our hospital in February, 2000. After decompression of the intestinal tract with a Denis tube, enterography revealed a stenotic shadow in the terminal ileum, and laparotomy was performed for a preoperation diagnosis of ileus after appendectomy. At operation, stenosis of the ileum 10cm proximal to the ileocecal junction and a myoma and chocolate cyst of the right ovary were identified. Partial ilectomy and total hysterectomy and bilateral salpingooophorectomy were performed. Histopathological examination showed endometriosis affecting the right ovary, uterus, and the ileum, with marked fibrosis of the ileum causing obstruction. We reported the ileus caused by endometriosis of the ileum and review the 35 cases in the Japanese literature.

Key words
Intenstinal obstruction, Ileal endometriosis

Reprint requests
Toshihiko Shinohara Department of Surgery The JIKEI University School of Medicine Aoto Hospital 6-41-2 Aoto, Katsushika-ku, Tokyo, 125-8506 JAPAN

Accepted
November 29, 2000

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