Sigmoid colon endometriosis treated with laparoscopy-assisted sigmoidectomy:Significance of preoperative diagnosis  

作　　者：Motohira Yoshida Yuji Watanabe Atsushi Horiuchi Yuji Yamamoto Hiroki Sugishita Kanji Kawachi 

机构地区：[1]Department of Organ Regenerative Surgery,Ehime University Graduate School of Medicine,Shitsukawa,Toon,Ehime 791-0295,Japan

出　　处：《World Journal of Gastroenterology》2007年第40期5400-5402,共3页世界胃肠病学杂志（英文版）

摘　　要：We present a female patient with sigmoid colon endometriosis who was diagnosed correctly preoperatively and underwent minimally invasive surgery. She was admitted to our hospital with rectal bleeding and constipation. We performed several workups. Colonoscopy and endoscopic ultrasonography showed sigmoid colon stenosis caused by submucosal tumor, and magnetic resonance imaging revealed a sigmoid colon tumor displaying signal hy- pointensity on both T1- and T2-weighted imaging. However, colonoscopic ultrasonography-assisted needle aspiration biopsy could not specify tumor characteristics. From these examinations, the lesion was diagnosed as sigmoid colon endometriosis and laparoscopy-assisted sigmoidectomy was performed. Pathological diagnosis from the resected specimen was identical to preoperative diagnosis, i.e., colonic endometriosis. Since differential diagnosis of intestinal endometriosis seems difficult, a cautious preoperative diagnosis is required to select treatments including minimally invasive surgery.我们在场外科手术前地正确地被诊断并且经历了最低限度地侵略的外科的有 S 字形的结肠子宫内膜增生的一个女病人。她与直肠的流血和便秘进入我们的医院。我们执行了几工作 ups。显示出的 S 字形的冒号狭窄由粘膜下层肿瘤引起了的结肠镜检查和内视镜的 ultrasonography，和磁性的回声成像揭示了在 T1 加权、 T2 加权的成像上显示信号 hy-pointensity 的一个 S 字形的冒号肿瘤。然而， colonoscopic 帮助 ultrasonography 的针针吸活组织检查不能指定肿瘤特征。从这些考试，当 S 字形的冒号子宫内膜增生和帮助 laparoscopy 的乙状结肠切除术被执行，损害被诊断。从 resected 标本的病理学的诊断与外科手术前的诊断相同，即，结肠的子宫内膜增生。因为肠的子宫内膜增生的鉴别诊断似乎困难，小心的外科手术前的诊断被要求包括最低限度地侵略的外科选择治疗。

关 键 词：Intestinal endometriosis Preoperative diagnosis Laparoscopy-assisted surgery 

分 类 号：R656.7[医药卫生—外科学]