Korean J Gastrointest Endosc > Volume 29(6); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(6): 534-538.
변비를 주소로 내원한 자궁내막증 1예
주상현·정우진·김정수·박원일·김광하·허 정·강대환·송근암·조 몽·김 석*·박도윤
부산대학교 의과대학 내과학교실, *진단방사선과교실, 병리과교실
A Case of Endometriosis Presenting as Constipation
Sang Hyen Joo, M.D., Woo Jin Jeong, M.D., Jeong Soo Kim, M.D., Won Il Park, M.D., Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D., Suk Kim, M.D.* and Do Youn Park, M.D.
Departments of Internal Medicine, *Diagnostic Radiology and Pathology, Pusan National University College of Medicine, Busan, Korea
Abstract
Endometriosis is the abnormal growth of endometrial tissue outside of uterine cavity. The incidence of endometriosis is estimated about 8∼15% of the reproductive women. The intestinal invasion is showed at about 3∼34%. The intestinal invasion may be involved in rectosigmoid colon, appedix, ileum, and cecum in order of decreasing frequency. Until now, only 7 cases have been reported in Korea. Most cases are diagnosed after surgery. And then the diagnosis need to be confirmed by surgical pathology. Recently, a 42 year-old woman visited due to severe constipation. A flexible sigmoidoscopy revealed submucosal tumor on rectosigmoidal juction 20 cm above the anal verge. The surgical resection was performed and the biopsy showed the endomtriosis involving mucosa, submucosa, muscularis, serosa, subserosa and lymph node. (Korean J Gastrointest Endosc 2004;29:534⁣538)
Key Words: Endometriosis, Submucosal tumor, Constipation
주요어: 자궁내막증, 점막하 종양, 변비
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