First Presentation of Endometriosis: A Case of Acute Large Bowel Obstruction

Aiah Al-Saig, Al-Saig A, Lakshmy Nandakumar, Nandakumar L, Theodore J, Jane E. Theodore, Jane Theodore, Moloney J, Jayson Moloney
Cureus · 2025 · vol. 17(8) , pp. e91306 · doi:10.7759/cureus.91306 · PMID:41030730 · PMC12479145 · W4413859031
case-report OA: gold CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report describes a woman in her 40s who presented with acute large bowel obstruction, found to be caused by endometriosis of the sigmoid colon.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The provided text does not contain the actual clinical content of the paper (e.g., patient presentation, diagnostic workup, surgical findings, imaging results, or outcomes), but instead includes unrelated Cureus publishing and advertisement/sponsorship boilerplate. Because the narrative details and findings are missing, no key study result or explicit limitation can be extracted from the text provided. The material also does not specify any methodology beyond being labeled as a case of acute large bowel obstruction with first presentation of endometriosis. This paper is centrally about endometriosis — it is described by its title as a first presentation of endometriosis presenting as acute large bowel obstruction, though the included text here does not provide the actual case details.

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Abstract

The first presentation of endometriosis as acute large bowel obstruction is rare. We present the case of a woman in her 40s with no significant past medical history presenting with acute bowel obstruction. CT imaging revealed an obstructing mass in the sigmoid colon with associated lymphadenopathy, favoured to be a malignant process. She underwent an emergency laparoscopic to open Hartmann's procedure, where the sigmoid mass was seen causing proximal colonic distention and caecal seromuscular tears. Her case was discussed at the colorectal multidisciplinary team meeting, where pathology revealed a surprising diagnosis of endometriosis; no primary mucosal lesion was identified. This case highlights endometriosis as an important differential cause of acute bowel obstruction, even in patients with no prior history of endometriosis.
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Condition tags

endometriosis

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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