A Report of Four Cases of Intestinal Endometriosis

Kazuhide Iwakawa, Takashi Nonoshita, Yuki Hamada, Yasui Nanako, Masaaki Akai, K. Isoda, Kouji Kitada, Ryosuke Hamano, Naoyuki Tokunaga, Hideaki Miyaso, Yosuke Tsunemitsu, Shinya Otsuka, Masaru Inagaki, Hiromi Iwagaki
In: Hiroshima Journal of Medical Sciences · 2018 · vol. 66(2) , pp. 49–53 · W2781630172
article OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This report details four cases of intestinal endometriosis presenting as stenotic lesions causing bowel obstruction in women aged 35-43, highlighting the difficulty of preoperative diagnosis and recommending consideration of this condition in reproductive-aged women with such symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports four cases of intestinal endometriosis in women aged 35–43 who developed abdominal pain, vomiting, and dyschezia from stenotic intestinal lesions. Lesion sites were the ileum in two cases and the sigmoid colon and rectum in one case each; all patients had no history of bowel disease or prior laparotomy and were not diagnosed preoperatively. The authors state that evaluation of symptoms and clinical examinations was inadequate for accurate preoperative diagnosis, while postoperative courses were uneventful with no reported recurrences. This paper is centrally about endometriosis — it presents four clinical cases of intestinal endometriosis causing bowel obstruction.

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Abstract

Four cases of intestinal endometriosis seen at our hospital are presented. The patients ranged in age from 35 to 43 years and developed abdominal pain, vomiting, and dyschezia due to stenotic lesions of the intestine. The sites of the lesions were the ileum in 2 cases, and the sigmoid colon and rectum in 1 case each. All cases had no history of bowel disease or laparotomy, and were not diagnosed preoperatively. These results suggested that evaluations of symptoms and clinical examinations are inadequate for an accurate diagnosis of intestinal endometriosis. The patients’ postoperative courses were uneventful, and there have been no recurrences. In conclusion, intestinal endometriosis should be considered in women of childbearing age who present with bowel obstruction, especially in women without a history of laparotomy.
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WEKO3 アイテム A Report of Four Cases of Intestinal Endometriosis https://hiroshima.repo.nii.ac.jp/records/2013727 https://hiroshima.repo.nii.ac.jp/records/2013727f14c0192-386e-4823-9920-124e02571e5d | 名前 / ファイル | ライセンス | アクション | |---|---|---| | HiroshimaJMedSci_66_49.pdf (648.2 KB) | | アイテムタイプ | デフォルトアイテムタイプ_（フル）(1) | ||||||||||||||||||||||||||||||||| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| | 公開日 | 2023-03-18 | ||||||||||||||||||||||||||||||||| | タイトル | |||||||||||||||||||||||||||||||||| | タイトル | A Report of Four Cases of Intestinal Endometriosis | ||||||||||||||||||||||||||||||||| | 言語 | en | ||||||||||||||||||||||||||||||||| | 作成者 | Iwakawa, Kazuhide × Iwakawa, Kazuhide × Nonoshita, Takashi × Hamada, Yuki × Yasui, Nanako × Akai, Masaaki × Isoda, Kenta × Kitada, Kouji × Hamano, Ryosuke × Tokunaga, Naoyuki × Miyaso, Hideaki × Tsunemitsu, Yosuke × Otsuka, Shinya × Inagaki, Masaru × Iwagaki, Hiromi | ||||||||||||||||||||||||||||||||| | アクセス権 | |||||||||||||||||||||||||||||||||| | アクセス権 | open access | ||||||||||||||||||||||||||||||||| | アクセス権URI | http://purl.org/coar/access_right/c_abf2 | ||||||||||||||||||||||||||||||||| | 権利情報 | |||||||||||||||||||||||||||||||||| | 権利情報 | Copyright (c) 2017 Hiroshima University Medical Press | ||||||||||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||||||||||| | 主題Scheme | Other | ||||||||||||||||||||||||||||||||| | 主題 | Endometriosis | ||||||||||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||||||||||| | 主題Scheme | Other | ||||||||||||||||||||||||||||||||| | 主題 | Ileus | ||||||||||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||||||||||| | 主題Scheme | Other | ||||||||||||||||||||||||||||||||| | 主題 | Menstruating woman | ||||||||||||||||||||||||||||||||| | 主題 | |||||||||||||||||||||||||||||||||| | 主題Scheme | NDC | ||||||||||||||||||||||||||||||||| | 主題 | 490 | ||||||||||||||||||||||||||||||||| | 内容記述 | |||||||||||||||||||||||||||||||||| | 内容記述 | Four cases of intestinal endometriosis seen at our hospital are presented. The patients ranged in age from 35 to 43 years and developed abdominal pain, vomiting, and dyschezia due to stenotic lesions of the intestine. The sites of the lesions were the ileum in 2 cases, and the sigmoid colon and rectum in 1 case each. All cases had no history of bowel disease or laparotomy, and were not diagnosed preoperatively. These results suggested that evaluations of symptoms and clinical examinations are inadequate for an accurate diagnosis of intestinal endometriosis. The patients’ postoperative courses were uneventful, and there have been no recurrences. In conclusion, intestinal endometriosis should be considered in women of childbearing age who present with bowel obstruction, especially in women without a history of laparotomy. | ||||||||||||||||||||||||||||||||| | 言語 | en | ||||||||||||||||||||||||||||||||| | 出版者 | |||||||||||||||||||||||||||||||||| | 出版者 | Hiroshima University Medical Press | ||||||||||||||||||||||||||||||||| | 言語 | |||||||||||||||||||||||||||||||||| | 言語 | eng | ||||||||||||||||||||||||||||||||| | 資源タイプ | |||||||||||||||||||||||||||||||||| | 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | ||||||||||||||||||||||||||||||||| | 資源タイプ | departmental bulletin paper | ||||||||||||||||||||||||||||||||| | 出版タイプ | |||||||||||||||||||||||||||||||||| | 出版タイプ | VoR | ||||||||||||||||||||||||||||||||| | 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | ||||||||||||||||||||||||||||||||| | 関連情報 | |||||||||||||||||||||||||||||||||| | 識別子タイプ | DOI | ||||||||||||||||||||||||||||||||| | 関連識別子 | 10.24811/hjms.66.2_49 | ||||||||||||||||||||||||||||||||| | 関連情報 | |||||||||||||||||||||||||||||||||| | 識別子タイプ | DOI | ||||||||||||||||||||||||||||||||| | 関連識別子 | https://doi.org/10.24811/hjms.66.2_49 | ||||||||||||||||||||||||||||||||| | 収録物識別子 | |||||||||||||||||||||||||||||||||| | 収録物識別子タイプ | ISSN | ||||||||||||||||||||||||||||||||| | 収録物識別子 | 0018-2052 | ||||||||||||||||||||||||||||||||| | 収録物識別子 | |||||||||||||||||||||||||||||||||| | 収録物識別子タイプ | ISSN | ||||||||||||||||||||||||||||||||| | 収録物識別子 | 2433-7668 | ||||||||||||||||||||||||||||||||| | 収録物識別子 | |||||||||||||||||||||||||||||||||| | 収録物識別子タイプ | NCID | ||||||||||||||||||||||||||||||||| | 収録物識別子 | AA00664312 | ||||||||||||||||||||||||||||||||| | 開始ページ | |||||||||||||||||||||||||||||||||| | 開始ページ | 49 | ||||||||||||||||||||||||||||||||| | 書誌情報 | Hiroshima Journal of Medical Sciences Hiroshima Journal of Medical Sciences 巻 66, 号 2, p. 49-53, 発行日 2017-08 | ||||||||||||||||||||||||||||||||| | 旧ID | 44650 |

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