Bowel obstruction due to endometriosis in the rectovaginal septum.
It is very rare that endometriotic lesions in the rectovaginal septum cause ileus. We report a case of bowel obstruction due to endometriotic lesions in the rectovaginal septum in a 22-year-old woman whose barium enema presented with apple-core-like findings. Diagnostic and treatment modalities were discussed. Preoperative and postoperative gonadotropin-releasing hormone analog and aromatase inhibitor therapy promote relief of clinical symptoms, a reduction of tumor volume and a better approach to radical surgery.
Takai
N
N
Department of Obstetrics and Gynecology, Oita University Faculty of Medicine, Oita, Japan. takai@med.oita-u.ac.jp
Ueda
T
T
Nishida
M
M
Nasu
K
K
Narahara
H
H
D004715:Endometriosis / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012002:Rectal Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D055815:Young Adult