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- W2320601325 abstract "回腸子宮内膜症により回盲部腸重積を形成した1手術例を経験した．症例は40歳の女性で，心窩部痛を主訴に，2004年10月当院救急外来を受診するも，点滴治療にて症状軽快し帰宅．翌朝より嘔気，嘔吐を認め，腹痛増強し，当院救急外来を再度受診した．右下腹部に圧痛を認め，Blumberg徴候陽性．腹部エコーにて右下腹部の腸蠕動の低下および腸管の拡張，回盲部にmultiple concentric signを認めた．さらに，緊急造影CTにて腹水貯留，回腸の腫脹を認め，腸重積による絞扼性イレウスと診断し，緊急手術を施行．腹腔内には血性腹水を認めた．回腸末端に粘膜下腫瘍を認め，これがBauhin弁に重積していた．腸重積を用手的に圧出，整復後，悪性腫瘍の可能性も考慮し，回盲部切除術＋D2を施行した．切除標本では3 cm大の粘膜下腫瘍で，術後病理組織学的検査にて腸管子宮内膜症と診断された．" @default.
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- W2320601325 date "2009-01-01" @default.
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- W2320601325 title "A Case of Intussusception by Endometriosis of the Ileum" @default.
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- W2320601325 doi "https://doi.org/10.5833/jjgs.42.78" @default.
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