Ileocolonic intussusception due to severe endometriosis

Carlos Antonio Morales-Morales, Luis Fernando Morales-Flores, Mauricio Gonzalez‐Urquijo, Elizabeth Suárez-Márquez, Mario Zambrano-Lara, Adrian A Baca-Arzaga, Lucas Tijerina-Gómez, Lucas Octavio Tijerina-Gómez
Clinical journal of gastroenterology · 2021 · vol. 14(5) , pp. 1381–1385 · doi:10.1007/s12328-021-01473-9 · PMID:34189712 · W3177229595
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-10 ⓘ

This case report describes a rare instance of ileocolic intussusception in a 27-year-old female caused by endometriosis, requiring a right hemicolectomy.

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

This case report describes a 27-year-old reproductive-age woman with a 1-year history of endometriosis who presented with right lower quadrant pain, nausea, vomiting, and signs of bowel obstruction. Imaging and evaluation identified ileocolic intussusception, and diagnostic laparoscopy confirmed the diagnosis as secondary to severe endometriosis, followed by right hemicolectomy and discharge on postoperative day 4 with continued well-being at 12 months. The authors emphasize that ileocolic intussusception from endometriosis is extremely rare and should be considered in the differential diagnosis of intestinal obstruction in reproductive-age females. This paper is centrally about endometriosis — it reports ileocolonic intussusception caused by severe bowel endometriosis requiring surgical treatment.

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Abstract

Endometriosis is the presence of normal endometrial tissue outside the uterus, which may appear in up to 15% of fertile female population. Bowel endometriosis is uncommon, and obstruction due to endometrial ileocolic intussusception is extremely rare. Herein, we report a case of a 27-year-old female who presented with bowel obstruction due to ileocolic intussusception secondary to endometriosis. A 27-year-old female, without pregnancies, and with a 1 year history of endometriosis presented to the emergency department referring severe abdominal pain in right lower quadrant, nausea and vomiting, she had medical history of prior episodes of mild abdominal pain due to endometriosis with OB/GYN follow-up. Physical examination revealed abdominal distension with decreased bowel movements to auscultation. A CT scan reported suspicion of intussusception. Colonoscopy was ordered, where an ileocolic intussusception was found. Diagnostic laparoscopy was performed, and the initial diagnosis was confirmed. A right hemicolectomy with extracorporeal anastomosis was achieved without any surgical complications. The patient was discharge on postoperative day 4 and continues doing well on a 12 month follow-up. Ileocolic intussusception due to endometriosis is a very rare condition, and it must be considered a differential diagnosis in female patients in reproductive age, when presenting with intestinal obstruction. Similar content being viewed by others

References

Goai XY, Sellayah R, Naqash N. Intussusception of terminal ileum into cecum associated with endometriosis. ANZ J Surg. 2020;90:932–3. Katagiri H, Lefor AK, Nakata T, et al. Intussusception secondary to endometriosis of the cecum. Int J Surg Case Rep. 2014;5:890–2. Ranaweera RKMDCD, Gamage SMK, Ubayawansa DHB, et al. Terminal ilial intussusception in an adult due to endometriosis. BMC Res Notes. 2016. https://doi.org/10.1186/s13104-016-2029-z. Rodriguez-Lopez M, Bailon-Cuadrado M, Tejero-Pintor FJ, et al. Ileocecal intussusception extending to left colon due to endometriosis. Ann R Coll Surg Engl. 2018;100:62–3. Indraccolo U, Trevisan P, Gasparin P, et al. Cecal endometriosis as a cause of ileocolic intussusception. J Soc Laparoendosc Surg. 2010;14:140–2. Rivkine E, Marciano L, Polliand C, et al. Correction: ileocolic intussusception due to a cecal endometriosis: case report and review of literature. Diagn Pathol. 2018;13:2–5. Soufi M, Mimouni A, Kharrasse G, et al. Intestinal endometriosis revealed by a ileocolic intussusception. Enliven Gynecol Obstet. 2015;02:2–5. Guillén Paredes MP, Campillo Soto A, Martín Lorenzo JG, et al. Adult intussusception—14 case reports and their outcomes. Rev Esp Enferm Dig. 2010;102:32–40. Gupta RK, Agrawal CS, Yadav R, et al. Intussusception in adults: institutional review. Int J Surg. 2011;9:91–5. Scarmato VJ, Levine MS, Herlinger H, et al. Ileal endometriosis: radiographic findings in five cases. Radiology. 2000;214:509–12. Marsicovetere P, Ivatury SJ, White B, et al. Intestinal intussusception: etiology, diagnosis, and treatment. Clin Colon Rectal Surg. 2017;30:30–9. Yoshikawa T, Ibuki Y, Kaneko M, et al. Adult intussusception due to endometriosis arising from the uterine tube: report of a case. Hiroshima J Med Sci. 2018;67:51–4. Le Meaux JP, Sangana G, Panel P, et al. Endométriose digestive de localisation caecale et invagination intestinale aiguë: à propos d’un cas. Gynecol Obstet Fertil. 2007;35(12):1232–4. Yoshino M, Adachi K. Ileocolic intussusception caused by endometriosis. Am Surg. 2011;77:129–30. Chantalat E, Tuyeras G, Leguevaque P, et al. Consequences of delayed diagnosis of acute gastrointestinal intussusception, secondary to endometriosis. J Obstet Gynaecol Res. 2017;43:595–8.

Acknowledgements

None. Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest The authors declare that they have no conflict of interest. Human and animal rights All procedures performed in studies involving human participants were in accordance with the ethical standards of Tecnologico de Monterrey ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Informed consent Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Morales-Morales, C.A., Morales-Flores, L.F., Gonzalez-Urquijo, M. et al. Ileocolonic intussusception due to severe endometriosis. Clin J Gastroenterol 14, 1381–1385 (2021). https://doi.org/10.1007/s12328-021-01473-9 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s12328-021-01473-9

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mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Ileal Diseases Ileal Diseases Ileal Diseases Ileal Diseases Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Intussusception Intussusception Intussusception Intussusception Adult Colectomy Female Humans

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