Endometriosis intestinal, una causa de suboclusión intestinal poco sospechada. Serie de casos

Tomas Pérez, Romina Lorena Alsina Farreta, M. L. González, A. Pasqua, María Josefina Sobrero, J. Santino, M. Marcolongo
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Abstract

Endometriosis is defined as the presence of endometrial glands in extrauterine sites. Intestinal deep infiltrating endometriosis is considered when the endometriotic lesion is located more than 5 mm below the peritoneum. Intestinal obstruction due to endometriosis is rare, occurring in approximately 1% of cases. We present three cases with intestinal occlusion as deep infiltrating endometriosis debut. Its symptomatic presentation can mimic multiple gastroenterological entities, mainly irritable bowel syndrome or inflammatory bowel disease so its diagnosis can be difficult. However, suspecting this pathology and diagnosing it is important to define therapeutic behavior and improve the quality of life of our patients.
肠道子宫内膜异位症,一种很少怀疑的肠道下闭塞的原因。案例系列
子宫内膜异位症被定义为子宫外部位存在子宫内膜腺。当子宫内膜异位症病变位于腹膜以下5mm以上时,考虑肠深部浸润性子宫内膜异位症。由子宫内膜异位症引起的肠梗阻是罕见的,大约1%的病例发生。我们报告了3例肠阻塞作为深浸润性子宫内膜异位症的首次病例。其症状表现可以模仿多种胃肠疾病,主要是肠易激综合征或炎症性肠病,因此其诊断可能很困难。然而,怀疑这种病理和诊断它是重要的,以确定治疗行为和提高我们的病人的生活质量。
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