학술논문
A Case of Ileal Endometriosis with Intussusception / 回腸子宮内膜症により腸重積を発症した1例
Document Type
Journal Article
Author
Akira Fujimori; Kodai Tomioka; Koji Otsuka; Makoto Watanabe; Masahiko Murakami; Masahiro Kohmoto; Mitsunori Hoshino; Motohiko Fukushima; Noriyuki Murai; Satoru Gotoh; Takeshi Aoki; Tatsuya Yamazaki; Tetsuji Enosawa; Tomonori Fujii; 五藤 哲; 冨岡 幸大; 大塚 耕司; 山崎 達哉; 広本 昌裕; 星野 光典; 村上 雅彦; 村井 紀元; 榎沢 哲司; 渡辺 誠; 福島 元彦; 藤井 智徳; 藤森 聰; 青木 武士
Source
日本腹部救急医学会雑誌 / Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine). 2018, 38(5):875
Subject
Language
Japanese
ISSN
1340-2242
1882-4781
1882-4781
Abstract
We report the case of a patient with intussusception secondary to ileal endometriosis. A 30-year-old woman presented to our hospital with abdominal pain and vomiting. Abdominal computed tomography showed the pseudo-kidney sign in the right ileocecal area, based on which we diagnosed intussusception, and performed emergency surgery. We found the intussusception located 30cm proximal to the ileocecal valve and performed a manual reduction using the Hutchinson procedure. We found a tumor in the ileum, which we removed by resection. Histopathological findings revealed the diagnosis of endometriosis of the ileum. We believe this was a very rare case of intussusception caused by ileal endometriosis, and present the case here with a review of the literature.