Small bowel obstruction caused by endometriosis in a postmenopausal woman |
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| Authors: | Kunihiko Izuishi Takanori Sano Atsuko Shiota Hirohito Mori Kazuo Ebara |
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| Affiliation: | 1. Department of Gastroenterological Surgery, Federation of Public Services and Affiliated Personnel Aid Associations, Takamatsu Hospital, Takamatsu, Kagawa, Japan;2. Department of Gynecology, Federation of Public Services and Affiliated Personnel Aid Associations, Takamatsu Hospital, Takamatsu, Kagawa, Japan;3. Department of Nursing, Kagawa Prefectural University of Health Sciences, Takamatsu, Kagawa, Japan |
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| Abstract: | We report a rare case of small bowel obstruction (SBO) caused by endometriosis in a postmenopausal woman. A 54‐year‐old postmenopausal woman presented with severe abdominal pain and vomiting. Before menopause, she sometimes had abdominal pain associated with menses. Axial multi‐dimensional CT images revealed a SBO with small nodules near the terminal ileum. The obstruction was diagnosed as being caused by small bowel endometriosis. Curved planar reconstruction images showed a complicated obstruction of the small intestine 15 cm from the terminal ileum. Based on the stenotic lesion, a SILS procedure was performed. The patient's SBO diagnosis was histologically confirmed as being caused by small bowel endometriosis. SILS was deemed to be a safe, feasible procedure for treating this bowel obstruction. Curved planar reconstruction images were useful in preoperative imaging and diagnosis of SBO, especially as they were able to highlight the constricting legion. |
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| Keywords: | Postmenopausal women single‐incision laparoscopic surgery small bowel endometriosis |
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