TWO CASES OF INTESTINAL ENDOMETRIOSIS CAUSING INTESTINAL OBSTRUCTION AND APPENDICITIS
Two cases of intestinal endometriosis are reported, one causing ileal obstruction and the other appendiceal endometriosis leading to acute appendicitis, highlighting the rarity and diagnostic challenge of these conditions in mature women.
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This case report describes two patients presenting with severe abdominal symptoms caused by intestinal endometriosis. The first patient, a 46-year-old woman, underwent ileocecal resection after being diagnosed with ileal endometriosis that led to chronic intestinal obstruction over two years. The second patient, aged 44, required an appendectomy following the discovery of acute perforated appendicitis resulting from endometrial tissue in the appendix muscle layer. Histological examination confirmed the presence of endometrial tissue in both cases, highlighting the rarity of these specific presentations in Japan where only limited prior cases have been documented. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis affecting the ileum and appendix.
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