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ID 116399
Title Alternative
A case of bowel endometriosis resulting in intestinal obstruction and septic shock, decompression with a transanal drainage tube followed by an elective laparoscopic surgery
子宮内膜症性腸閉塞に対する経肛門的イレウスチューブの有用性
Author
Miyake-Hamada, Tetsuyu Tokushima Prefectural Central Hospital
Omura, Takeshi Tokushima Prefectural Central Hospital
Ohta, Shogo Tokushima Prefectural Central Hospital
Yokota, Noriko Tokushima Prefectural Central Hospital
Yamada, Ryo Tokushima Prefectural Central Hospital
Sumitomo, Hiroyuki Tokushima Prefectural Central Hospital
Matsushita, Kenta Tokushima Prefectural Central Hospital
Mori, Hayato Tokushima Prefectural Central Hospital
Kawashita, Yoichiro Tokushima Prefectural Central Hospital
Sugimoto, Koji Tokushima Prefectural Central Hospital
Tsuboi, Mitsuhiro Tokushima Prefectural Central Hospital KAKEN Search Researchers
Miyatani, Tomohiko Tokushima Prefectural Central Hospital KAKEN Search Researchers
Arakawa, Yusuke Tokushima Prefectural Central Hospital KAKEN Search Researchers
Hirose, Toshiyuki Tokushima Prefectural Central Hospital
Yagi, Toshiyuki Tokushima Prefectural Central Hospital
Yoneda, Akiko Tokushima Prefectural Central Hospital
Kudo, Eiji Tokushima Prefectural Central Hospital
Keywords
bowel endometriosis
Laparoscopic surgery
transanal drainage tube
intestinal obstruction
Content Type
Journal Article
Description
One of the causative diseases of intestinal obstruction in young women is bowel endometriosis. During the course of ectopic endometriosis, it is estimated that about 10% of patients develop bowel endometriosis. The first step in treatment is drug therapy. In cases of bowel endometriosis of the colon or rectum leading to intestinal obstruction, laparotomy is often required.
A 47-year-old woman with a history of endometriosis was undergoing drug therapy. She developed abdominal pain and nausea, and was diagnosed with septic shock and fecal ileus. A transanal drainage tube was inserted for decompression. The patient’s general condition improved, and a laparoscopic low anterior resection was performed on the 23rd day. The patient was discharged on the 10th postoperative day without any postoperative problems.
This case suggests that even in the case of septic shock caused by rectal stricture due to intestinal endometriosis, initial treatment with transanal decompression may stabilize the general condition, and may be superior in cosmetic change.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
77
Issue
3-4
Start Page
149
End Page
154
Sort Key
149
Published Date
2021-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital