Laparoscopic management of ileal endometriosis: presented as sub-acute intestinal obstruction

Kavitha Yogini, K. Mahesh Kumar, S. Suryanarayana Murthy
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2015 · vol. 4(2) , pp. 521 · doi:10.5455/2320-1770.ijrcog20150453 · W2171273212
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes the laparoscopic management of ileal endometriosis presenting as sub-acute intestinal obstruction, noting diagnostic delays and the potential need for segmental bowel resection.

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Abstract

Patients with bowel endometriosis will usually experience a long delay in getting diagnosed as the physician will always think of other medical conditions related to bowel before considering the possibility of endometriosis. Imaging studies are not sensitive enough for definite diagnosis. Bowel endometriosis can be treated by either hormone therapy or surgical therapy. Surgery should be considered in selected patients, who have severe stenosis of intestinal lumen resulting in obstruction. Small bowel endometriosis may not be accompanied by pelvic endometriosis. When the disease involves the jejunum or the ileum, it usually has a benign course, but in rare circumstances may present as an acute abdomen. Ileal endometriosis should be carefully considered in the differential diagnosis of Crohn’s disease, because bowel endometriosis frequently produces local inflammation, adhesions, stricture and angulation. A segmental bowel resection may be required to completely treat their disease. The role of postoperative administration of gonadotropin releasing hormone analogues (GnRH) to prevent disease recurrence or increase symptom free interval is not well established.

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Condition tags

endometriosisbowel_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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