Acute small bowel obstruction caused by endometriosis: A case report and review of the literature

Antonella De Ceglie, De Ceglie A, Claudio Bilardi, Bilardi C, C. Bilardi, Blanchi S, Sabrina Blanchi, Massimo Picasso, Picasso M, Marcello Di Muzio, M Di Muzio, Di Muzio M, Trimarchi A, Alberto Trimarchi, Massimo Conio, Conio M, Mássimo Conio
World journal of gastroenterology · 2008 · vol. 14(21) , pp. 3430 · doi:10.3748/wjg.14.3430 · PMID:18528943 · PMC2716600 · W1482797108
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This case report details a woman with acute small bowel obstruction due to endometriosis infiltrating the muscularis propria and submucosa, presenting with non-menstrual symptoms and lymph node involvement.

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Abstract

Gastrointestinal involvement of endometriosis has been found in 3%-37% of menstruating women and exclusive localization on the ileum is very rare (1%-7%). Endometriosis of the distal ileum is an infrequent cause of intestinal obstruction, ranging from 7% to 23% of all cases with intestinal involvement. We report a case in which endometrial infiltration of the small bowel caused acute obstruction requiring emergency surgery, in a woman whose symptoms were not related to menses. Histology of the resected specimen showed that endometriosis was mainly prevalent in the muscularis propria and submucosa and that the mucosa was not ulcerated but had inflammation and glandular alteration. Endometrial lymph node involvement, with a cystic glandular pattern was also detected.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ileal Diseases Ileum Intestinal Obstruction Acute Disease Adult Colectomy Endometriosis Endometriosis Endometriosis Female Humans Ileal Diseases Ileal Diseases Ileal Diseases Ileum Ileum Intestinal Mucosa Intestinal Mucosa Intestinal Obstruction

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.

References (72)

Cited by (50)

Source provenance

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License: CC0 · commercial use OK