Distal ileal endometriosis as a cause of ileus: A case report

Pavle Gregorić, Gregorić P, Krstina Doklestić, Doklestić K, Milena Pandurović, Pandurović M, Milena Pandurovic, Dejan Radenković, Borivoje Karadzić, Karadzić B, Borivoje Karadžić, Miloš Raspopović, Milos Raspopović, Raspopović M, Marjan Micev, Micev M, Nenad Ivancević, Ivancević N, Nenad Ivančević, Sijacki A, Ana Šijački, Ana Sijacki, Bajec D, Djordje Bajec
Srpski arhiv za celokupno lekarstvo · 2012 · vol. 140(3-4) , pp. 225–228 · doi:10.2298/sarh1204225g · PMID:22650112 · W2009320089
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This case report describes a 41-year-old woman who presented with acute small bowel obstruction, later found to be caused by distal ileal endometriosis with fibrosis and stricture.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

This paper is a case report describing a 41-year-old woman who presented with acute small bowel obstruction requiring emergency surgery, ultimately attributed to distal ileal endometriosis. The authors performed small bowel resection with end-to-end anastomosis, and histology showed endometriosis accompanied by fibrosis and an ileal stricture. The main stated limitation is that the case highlights diagnostic difficulty for emergency surgeons, implying that the report is limited in generalizability as a single-observation study. This paper is centrally about endometriosis — it specifically reports distal ileal endometriosis presenting as acute ileus/small bowel obstruction.

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Abstract

INTRODUCTION: Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common, it is rarely manifested as an acute bowel obstruction secondary to ileal endometriosis. Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. CASE OUTLINE: A 41-year-old woman presented with symptoms and signs of an acute small bowel obstruction requiring emergency surgery. A small bowel resection was performed with end-to-end anastomosis. Histological examination demonstrated endometriosis with fibrosis and stricture of the ileal segment. This case is important to report as it highlights the diagnostic difficulty this particular condition pre sents to an emergency surgeon. CONCLUSION: In the differential diagnosis, endometriosis should be taken into consideration when assessing females of reproductive age who present with abdominal pain and small bowel obstruction.
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Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 3-4, Pages: 225-228 Distal ileal endometriosis as a cause of ileus: A case report Gregorić Pavle (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd) Introduction. Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common, it is rarely manifested as an acute bowel obstruction secondary to ileal endometriosis. Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. Case Outline. A 41-year-old woman presented with symptoms and signs of an acute small bowel obstruction requiring emergency surgery. A small bowel resection was performed with end-to-end anastomosis. Histological examination demonstrated endometriosis with fibrosis and stricture of the ileal segment. This case is important to report as it highlights the diagnostic difficulty this particular condition presents to an emergency surgeon. Conclusion. In the differential diagnosis, endometriosis should be taken into consideration when assessing females of reproductive age who present with abdominal pain and small bowel obstruction. Keywords: intestinal endometriosis, acute intestinal obstruction, emergency surgery https://doi.org/10.2298/SARH1204225G Full text ( 251 KB) Cited by Doklestić Krstina (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd) Pandurović Milena (Medicinski fakultet, Beograd + Klinika za anesteziologiju, Klinički centar Srbije, Beograd) Radenković Dejan (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd) Karadžić Borivoje (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd) Raspopović Miloš (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd) Micev Marjan (Medicinski fakultet, Beograd + Institut za patologiju, Klinički centar Srbije, Beograd) Ivančević Nenad (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd) Šijački Ana (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd) Bajec Đorđe (Klinika za urgentnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ileal Diseases Intestinal Obstruction Adult Endometriosis Female Humans Ileal Diseases Intestinal Obstruction

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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