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ID 46493
file
creator
Yoshikawa, Toru
Ibuki, Yuta
Kaneko, Mayumi
Teramoto, Hideki
Yoshimitsu, Masanori
Kohashi, Toshihiko
Mukaida, Hidenori
Hirabayashi, Naoki
subject
adult intussusception
endometriosis
laparoscopic surgery
NDC
Medical sciences
abstract
Introduction: Endometriosis is a rare cause of intussusceptions in adults. Although intestinal endometriosis sometimes arises as a consequence of direct involvement of the pelvic organs with endometrial tissue, there is no report that this type of endometriosis causes ileocecal intussusception.
Case presentation: Computed tomography assessment of a 40-year-old woman who presented with abdominal pain revealed ileocecal intussusceptions. The patient was managed by endoscopic reduction followed by laparoscopic resection. Adhesion between the right uterine adnexa and caecum was identified during surgery; therefore, combined resection of the uterine adnexa and ileocecum was performed. Pathological findings revealed that endometriosis, arising from the uterine tube and directly involving the cecal wall, had caused the intussusceptions.
Conclusion: Although rare, endometriosis should be considered as part of a differential diagnosis of intussusception in adult women who present with abdominal pain. A preoperative diagnosis is sometimes difficult, therefore, surgical resection could be a reasonable strategy to achieve a precise diagnosis.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 67
issue
Issue 2
start page
51
end page
54
date of issued
2018-06
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
Copyright (c) 2018 Hiroshima University Medical Press
department
Graduate School of Biomedical & Health Sciences
Research Institute for Radiation Biology and Medicine
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