Korean J Gastrointest Endosc > Volume 41(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(5): 319-323.
내시경적 제거가 가능한 직장 점막하 병변으로 오인한 자궁내막증 1예
정승규ㆍ이석호ㆍ손범석ㆍ이창균ㆍ이태훈ㆍ정일권ㆍ김선주ㆍ이지혜*
순천향대학교 의과대학 천안병원 내과학교실, *병리학교실
Rectal Endometriosis That Is Difficult to Differentiate from Endoscopically Resectable Subepitherial Lesion
Seung Kyu Chung, M.D., Suck-Ho Lee, M.D., Bum Suk Son, M.D., Chang Kyun Lee, M.D., Tae Hoon Lee, M.D., Il-Kwun Chung, M.D., Sun-Joo Kim, M.D. and Ji-Hye Lee, M.D.*
Departments of Internal Medecine and *Pathology, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
Endometriosis occurs most frequently in the intestine. In the pelvic organs intestinal endometriosis presents with various symptoms and endoscopic findings. If an asymptomatic submucosal lesion is found in the sigmoid colon or rectum of reproductive women, a differential diagnosis should be done. Owing to advancements in endoscopic therapy, endoscopic excision has been attempted for various subepithelial lesions. To successfully do an endoscopic excision, accurate diagnosis should be obtained through diagnostic tests such as endoscopic ultrasonography prior to excision. Here the authors report a case of rectal endometriosis in an asymptomatic woman of reproductive age. They attempted endoscopic resection based on the endoscopic finding that the subepithelial lesion was limited to the submucosal layer in endoscopic ultrasonography. This conclusion turned out to be a mistaken one. Because of tumor adhesion to the proper muscular layer, we failed to successfully conduct an endoscopic excision. Ultimately, we did surgery and diagnosed rectal endometriosis. (Korean J Gastrointest Endosc 2010;41:319-323)
Key Words: Endometriosis, Subepitherial lesion, Endoscopic ultrasonography, Endoscopic resection
주요어: 자궁내막증, 점막하 병변, 내시경 초음파, 내시경적 절제술
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