EXTRA PELVIC ENDOMETRIOSIS: DOUBLE ILEAL AND ILEO-CAECAL LOCALIZATION REVEALED BY ACUTE SMALL BOWEL OBSTRUCTION, A CLINICAL CASE

Lina Belkouchi, Omer Najem, Z. Elmouatassim, Ahmed Zahraoui
2023 · doi:10.5281/zenodo.7980417 · W4378632336
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A clinical case report describes a young woman with chronic abdominal pain who presented with acute small bowel obstruction due to rare double ileal and ileo-caecal endometriosis, successfully treated via laparoscopic resection.

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This clinical case report describes a young woman with chronic abdominal pain who was admitted for acute small bowel obstruction. Initial diagnostic efforts were hindered by non-specific symptoms, but an abdominal CT scan identified ileo-caecal thickening leading to surgical intervention. Laparoscopic resection of the terminal ileum and caecum resolved the emergency and allowed for anatomopathological analysis. The final diagnosis confirmed endometriosis, highlighting a rare double localization in these extra-pelvic sites. This paper is centrally about endometriosis — specifically documenting an extremely rare case of double ileal and ileo-caecal involvement presenting as small bowel obstruction.

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Abstract

Endometriosis is a frequent pathology in women, the double ileo-caecal localization is extremely rare. Given the non-specific nature of the clinical symptoms, the diagnosis of this pathology was initially disconcerting. We report the case of a young patient, presenting chronic abdominal pain.Even though she didseveral medical consultations, the diagnosis was not possible given the non-specific character of the symptomatology. Our patient was admitted to our department for an acute small bowel obstruction.The abdominal CT scan was in favor of an ileo-caecalthickening. An ileo-caecal resection was performed by laparoscopy, thus solving the problem of surgical emergency andachieving complete excision of a double tumor of the terminal ileum and the caecum. The endometriotic nature was revealed by the anatomopathologicalanalysis of the surgical specimen.
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EXTRA PELVIC ENDOMETRIOSIS: DOUBLE ILEAL AND ILEO-CAECAL LOCALIZATION REVEALED BY ACUTE SMALL BOWEL OBSTRUCTION, A CLINICAL CASE Authors/Creators - 1. Department of Surgery A, Ibn Sina Hospital, Faculty of Medicine and Pharmacy of Rabat, Morocco. - 2. Department of ER Radiology, Ibn Sina Hospital, Faculty of Medicine and Pharmacy of Rabat, Morocco. - 3. Department of Gastroenterology, Ibn Sina Hospital, Faculty of Medicine and Pharmacy of Rabat, Morocco. - 4. Department of Medical Oncology, National institute of Oncology, Faculty of Medicine and Pharmacy of Rabat, Morocco. Description Endometriosis is a frequent pathology in women, the double ileo-caecal localization is extremely rare. Given the non-specific nature of the clinical symptoms, the diagnosis of this pathology was initially disconcerting. We report the case of a young patient, presenting chronic abdominal pain.Even though she didseveral medical consultations, the diagnosis was not possible given the non-specific character of the symptomatology. Our patient was admitted to our department for an acute small bowel obstruction.The abdominal CT scan was in favor of an ileo-caecalthickening. An ileo-caecal resection was performed by laparoscopy, thus solving the problem of surgical emergency andachieving complete excision of a double tumor of the terminal ileum and the caecum. The endometriotic nature was revealed by the anatomopathologicalanalysis of the surgical specimen. Files 12.pdf Files (325.7 kB) | Name | Size | Download all | |---|---|---| | md5:ca0f18630554b05a76b578233742fb8d | 325.7 kB | Preview Download |

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