Endometriosis Inducing Complete Colon Obstruction Managed by One Stage Resection and Anastomosis

以單次性腸切除及吻合手術治療子宮內膜異位所造成的完全腸阻塞

廖宣凱(Hsuan-Kai Liao) ； 許自齊(Tzu-Chi Hsu)

《中華民國大腸直腸外科醫學會雜誌》 21卷1期 (2010/03) Pp. 43-47

https://doi.org/10.6312/SCRSTW.2010.21(1).09816

摘要

腸道是子宮內膜異位最常見的骨盆腔外轉移的地方，而常見的症狀如血便及腹痛等可和月經的週期有相關，但是通常只有40%的病人會依此特性表現。當我們探討到左側大腸完全阻塞的病因時，惡性腫瘤是最常見的狀況。在處理這一類的病人時，往往會需要先施行一個暫時性的結腸造廔分流，而後再接受兩到三階段的手術。然而，單一階段的結腸切除及吻合仍然是一種手術的選擇，也並不會增加急性阻塞術後吻合處滲漏的機率。本篇的病例報告說明一個子宮內膜異位所造成急性腸阻塞的病人，經由一階段的腸切除及腸吻合手術，完成病灶切除。

關鍵字

子宮內膜異位 ； 單次性切除 ； 完全腸阻塞 ； 吻合手術

並列摘要

The bowel tract is the most common place site for extra-pelvic endometriosis. 1The symptoms of bloody stool and abdominal pain may correlate with the endometrial cycle; however, only 40% patients would present like this pattern. Among the etiology of complete obstruction of the left side colon, malignancy is usually the cause. Endometriosis is a rare cause of complete colon obstruction of the left side. Initially, treating acute left side colon obstruction with a stoma usually requires a two- or three- stage operation with a temporary diversion. However, one-stage resection and anastomosis is the operation of choice for acute obstruction of the left colon with a low leakage rate. This is a report of one-stage resection with anastomosis in a patient with endometriosis inducing complete colon obstruction.

並列關鍵字

Endometriosis ； One stage resection ； Complete colon obstruction ； Anastomosis