Intestinal endometriosis complicated by ileal perforation after initiation of gonadotropin-releasing hormone agonist therapy

Sayaka Saito, Takashi Murakami, Kichiya Suzuki, Yukihiro Terada, Kouhei Fukushima, Takuya Moriya

研究成果: Article査読

7 被引用数 (Scopus)

抄録

Objective: To report a rare complication of GnRH agonist therapy for intestinal endometriosis. Design: Case report. Setting: University hospital. Patient(s): A 45-year-old nulliparous Japanese woman with catamenial digestive symptoms. Intervention(s): GnRH agonist therapy. Main Outcome Measure(s): Acute abdomenal crisis with free air in the abdominal X-ray. Result(s): An emergency laparotomy showed both an ileal constriction and perforation. An ileocecal enterectomy with an end-to-end anastomosis was performed. A pathological examination of the ileum revealed ileal endometriosis. Conclusion(s): Flare-up of intestinal endometriosis induced by GnRH agonist has the potential to lead to intestinal perforation. Careful diagnosis and treatment are necessary for cyclic and periodic gastrointestinal manifestation.

本文言語English
ページ(範囲)969.e7-969.e9
ジャーナルFertility and sterility
88
4
DOI
出版ステータスPublished - 2007 10

ASJC Scopus subject areas

  • 生殖医学
  • 産婦人科学

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