Small bowel obstruction caused by appendiceal and ileal endometriosis: a case report

Kazuki Kobayashi; Masato Yamadera; Hiroaki Takeo; Michinori Murayama

doi:10.1093/jscr/rjac282

Small bowel obstruction caused by appendiceal and ileal endometriosis: a case report

Kazuki Kobayashi, Masato Yamadera, Hiroaki Takeo, Michinori Murayama

Journal of surgical case reports · 2022 · vol. 2022(6) , pp. rjac282 · doi:10.1093/jscr/rjac282 · PMID:35721264 · W4282968818

article OA: gold CC0 ⤵ 4 in-corpus citations

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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details a 37-year-old woman presenting with distal small bowel obstruction due to appendiceal and ileal endometriosis, highlighting the diagnostic and surgical challenges.

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Abstract

Endometriosis is characterized by the presence of an ectopic endometrial gland. Intestinal endometriosis with small bowel obstruction is uncommon. In this case, a 37-year-old woman with no history of endometriosis presented with a chief complaint of abdominal pain. Computed tomography revealed a distal small bowel obstruction. Surgical intervention was performed because of the emergent abdominal condition and the potential resistance to conservative management. Histopathological examination revealed appendiceal and ileal endometriotic lesions. Preoperative diagnosis was difficult because there were no specific clinical features. Intraoperatively, it is difficult to distinguish intestinal endometriosis and bowel malignancy; thus, oncological resection should be performed.

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Condition tags

endometriosis

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References (17)

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Cited by (4)

Source provenance

europepmc: last seen: 2026-06-04T01:30:01.192114+00:00
openalex: last seen: 2026-06-04T00:00:01.174412+00:00
pubmed: last seen: 2026-05-29T00:34:38.813996+00:00

License: CC0 · commercial use OK

[1] A 42-Year-Old Woman With a 7-Month History of Abdominal Pain via openalex

[2] Acute intestinal obstruction caused by endometriosis mimicking sigmoid carcinoma. via openalex

[3] Acute Small Bowel Obstruction and Small Bowel Perforation as a Clinical Debut of Intestinal Endometriosis: A Report of Four Cases and Review of the Literature via openalex

[4] Acute small bowel obstruction due to endometriosis. via openalex

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[7] Distal ileal endometriosis as a cause of ileus: A case report via openalex

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[17] W6600469651 via openalex