[Intestinal endometriosis: a diagnostic challenge for the internist?]

Arturo Olvera-Acevedo, Olvera-Acevedo A, Cervantes-Bojalil J, Javier Cervantes-Bojalil, Márquez-Vargas MG, Mitzi Gabriela Márquez-Vargas, Mariela Sánchez-Claudio, Sánchez-Claudio M
Revista medica del Instituto Mexicano del Seguro Social · 2021 · vol. 59(1) , pp. 81–86 · doi:10.24875/rmimss.m21000055 · PMID:33667047 · W3135679724
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This case report highlights intestinal endometriosis as a rare, potentially fatal cause of abdominal pain that can mimic a tumor, emphasizing the need for internists to recognize and diagnose it.

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Abstract

BACKGROUND: Within the wide variety of clinical skills distinctive of the internist the diagnostic approach of abdominal pain is paramount in everyday clinical practice. It is well known that no physician can diagnose what they don’t know: classically considered as one of the ‘‘great simulators’’, intestinal endometriosis is a rare yet potentially fatal cause of abdominal pain if misdiagnosed, thus requiring a comprehensive medical evaluation. CASE REPORT: We present the case of a 33-year-old woman evaluated for a bowel obstruction, in the first instance associated with a probable abdominal tumor, subsequently concluding the definitive diagnosis of intestinal endometriosis. CONCLUSIONS: Although endometriosis is a frequent pathology, the location and clinical presentation presented in this case is not. However, the lack of information on this, like any other pathology, can delay the diagnosis or carry the risk of offering inappropriate treatments for an incorrect diagnosis. This is the importance of its knowledge and dissemination among first-contact doctors as well as clinical and surgical specialists.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Pain Endometriosis Endometriosis Endometriosis Intestinal Obstruction Abdominal Pain Abdominal Pain Adult Adult Diagnosis, Differential Diagnosis, Differential Female Female Humans Humans Intestinal Obstruction Intestinal Obstruction

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (23)

Cited by (2)

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