Nadir Görülen Bir Akut Mekanik İntestinal Obstrüksiyon Olgusu: İleoçekal Endometriozis

Öz

Özet Endometriozis, fonksiyonel endometriyal dokunun uterin kavite dışında bulunmasıdır ve premenopozal kadınlarda %15 gibi yüksek bir oranda görülebilmektedir. Ektopik endometrium dokusu en çok pelvik organlar, overler, douglas poşu, sakrouterin ligamentler, pelvik periton, rektovaginal septum ve serviksi tutmaktadır. Ekstrapelvik endometriozis en yaygın olarak gastrointestinal sistemde görülmesine karşın, karaciğer, akciğerler ve kalp zarı gibi uzak tutulum alanları da bildirilmiştir. Endometriozisden etkilenen sindirim sistemi organları sıklık sırasıyla, rektosigmoid alan (% 70-90), ince bağırsaklar (% 2-16), apendiks (% 3-18'i) ve çekumdur (% 2-5). Bağırsak endometriozisinin semptomları arasında karın ağrısı, kusma, ishal, kabızlık ve hematokezi yer alabilir.Biz de burada mekanik bağırsak tıkanıklığı ile tarafımıza başvuran ve çekumda ileoçekal valf üzerinde endometriozis tespit edilen 36 yaşında bir kadın hastayı sunuyoruz.

Anahtar Kelimeler

• endometriozis
• intestinal endometriozis
• mekanik bağırsak tıkanıklığı
• ileus

A Rare Case Of Acute Mechanical İntestinal Obstruction: Ileocecal Endometriosis

Öz

Abstract Endometriosis represents a benign condition which has been described in up to 15% of premenopausal women. Endometrial tissue deposits are commonly found on the ovaries (endometriomas), uterosacral ligament and pouch of douglas. Extrapelvic endometriosis most commonly affects the gastrointestinal tract, but other locations have been reported, liver, lungs and pericardium. The rectosigmoid area is the most common affected gastrointestinal location (70–90% of cases. Other digestive tract organs affected by endometriosis are represented by the small bowel (in 2-16% of cases), appendix (3-18% of cases) and caecum (in 2-5% of cases). Symptoms of intestinal endometriosis may include abdominal pain, vomiting, diarrhea, constipation and hematochezia. Cecal endometriosis can present as acute appendicitis, intussusception, volvulus, chronic abdominal/pelvic pain or bowel obstruction In this case,we present a 36-year-old nulliparous woman who presented for diffuse abdominal pain and vomiting who was diagnosed with complete ileocecal obstruction due to a solid mass.

Anahtar Kelimeler

• endometriosis
• intestinal endometriosis
• mechanical bowel obstruction
• ileus

Kaynakça

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