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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⚙ AI-generated deep summary by claude@2026-06, 2026-06-23 · read from full text ⓘ

The paper discusses laparoscopic management of ileal endometriosis presenting as sub-acute intestinal obstruction, emphasizing that bowel endometriosis is often diagnosed late because clinicians first consider other bowel-related conditions and imaging lacks sufficient sensitivity for definitive diagnosis. It highlights that while small-bowel endometriosis often follows a benign course, ileal involvement can rarely present as an acute abdomen with local inflammation, adhesions, stricture, and angulation that can mimic Crohn’s disease. The authors note that segmental bowel resection may be necessary for complete disease treatment, and that the role of postoperative GnRH analogues in preventing recurrence or prolonging symptom-free intervals is not well established. This paper is centrally about endometriosis — it specifically focuses on laparoscopic management of ileal endometriosis presenting with sub-acute intestinal obstruction.

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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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Keywords

Laparoscopic management, Ileal endometriosis, Crohn’s disease, GnRHAbstract 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. Metrics

References

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