Akutna opstrukcija tankog creva izazvana endometriozom ileuma: prikaz bolesnice i pregled najnovije literature
Sažetak
Uvod. Endometrioza je prisustvo benignih endometrijumskih žlezda i strome van normalne anatomske lokacije. Endometrioza tankog creva, posebno simptomatsko uklještenje tankog creva, veoma je retko. Prikaz bolesnika. Prikazali smo 45-godišnju bolesnicu sa akutnom opstrukcijom tankog creva usled ilealne endometrioze. Bolesnica je primljena sa tegobama – jakim bolom u trbuhu, mučninom i povraćanjem. Urađena je hitna laparotomija. Iznad ileocekalne valvule utvrđeno je postojanje ulcerisane, edematozne i fragilne lezije koja je izazvala opstrukciju creva. Histološkim pregledom segmenta ileuma otkrivena je endometrioza i anularno suženje u kojem su opet utvrđena žarišta endometoze. Zaključak. Kod žena u reproduktivnom dobu koje imaju simptome opstrukcije creva treba imati na umu mogućnost intestinalne endometrioze.
Ključne reči:
ileum; creva, opstrukcija; endometrioza; abdomen, akutni; dijagnoza; hirurgija, operativne procedure; lečenje, ishod.Reference
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