内镜扩张术治疗子宫内膜异位所致肠腔严重狭窄1例报告

Endoscopic Dilation to Treat One Case of Severe Intestinal Stenosis Caused by Endometriosis

患者女性,46岁,因"反复腹胀、大便秘结10年余,加重5年"入院。结肠镜检查提示乙状结肠结节状新生物向腔内隆起,致局部肠腔狭窄,内镜不能通过;活检病理证实为子宫内膜异位症改变。患者于本院多次行内镜下扩张治疗,肠道复发狭窄时间间隔从半年延长至4年。肠道子宫内膜异位症由于肠壁异位腺体浸润引起的管腔反复顽固性狭窄通常需要外科手术干预,本文报道的患者通过内镜扩张治疗取得良好效果,此病例提示内镜扩张术在该类疾病中具有较好的应用价值,待进一步探究及推广。

A 46-year-old woman was admitted for repeated abdominal distention and constipation for more than 10 years and further deterioration for 5 years.Colonoscopy showed,in the sigmoid colon,nodular neoplasm protruding into the cavity,resulting in local intestinal stenosis,through which the endoscopy could not pass.Pathological findings of the biopsy sample revealed changes caused by intestinal endometriosis.The patient underwent multiple endoscopic dilatation treatments in our hospital and the interval between recurrences of intestinal stenosis was extended from 6 months to 4 years.Intestinal endometriosis can cause repeated intractable stenosis caused by the infiltration of ectopic glands in the intestinal wall,which usually requires surgical intervention.Herein,we report a case of severe intestinal stenosis caused by endometriosis in the sigmoid colon.Good results have been achieved through endoscopic dilatation treatment.This case suggests that endoscopic dilation has good application value in the treatment of this kind of disease,which needs further exploration and promotion.