直肠子宫内膜异位症1例

A case of rectal endometriosis

1例中青年女性患者,因"排便困难1年伴腹胀"就诊,第1次结肠镜检查:直肠处见不规则肿物,表面溃疡,管腔狭窄,第2次结肠镜检查,正逢月经来潮,内镜下不同的是肿物渗血,病理均提示:黏膜活动性炎伴溃疡形成.后行直肠肿物切除术,病理提示:直肠子宫内膜异位症,术后患者无排便困难、腹胀,服用孕激素药物治疗半年.

A young female patient presented with difficult defecation for 1 year and abdominal distension.Colonoscopy revealed an irregular regular mass with surface ulcers,and luminal stenosis.A second colonoscopy,which coincided with her period,revealed an oozing tumor,and pathology showed mucosal active inflammation with ulceration.The patient underwent rectal tumor excision,and pathological findings suggested rectal endometriosis.After surgery,the patient had no difficult defecation or abdominal distension,and she received progesterone treatment for half a year.