侵襲性直腸内膜症に対する腹腔鏡下骨盤後方圧迫術 - ビデオで見る直腸内膜症

Laparoscopic posterior pelvic exenteration for invasive endometriosis of the rectum - a video vignette.

• Zhou Haiyang
• Shi Yu
• Liu Chao
• Xu Lin

抄録

8ヶ月間の腹痛と血便症の既往歴を有する45歳女性の症例を紹介する。大腸内視鏡検査と生検で直腸子宮内膜症と診断された．腹部CT，MRIで子宮筋腫が多発し，直腸前壁に浸潤が認められた．重度の貧血で輸血を必要としていた．

We present the case of a 45-year-old female with an eight months history of abdominal pain and hematochezia. Colonoscopy and biopsy showed rectal endometriosis. Abdominal CT and MRI revealed multiple uterine fibroids and the anterior wall of rectum was invaded. The patient suffered from severe anemia requiring blood transfusion.

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