Acute small bowel obstruction due to ileal endometriosis: A case report and review of the most recent literature

Haluk Recai Unalp, Unalp HR, Recai Unalp, Akguner T, Taner Akguner, Taner Akgüner, Ali Yavuzcan, Ekinci N, Nese Ekinci, Neşe Ekinci
Vojnosanitetski pregled · 2012 · vol. 69(11) , pp. 1013–1016 · doi:10.2298/vsp111204027u · PMID:23311256 · W2054454407
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This case report describes a 45-year-old woman experiencing acute small bowel obstruction caused by an ulcerated and edematous ileal lesion proven to be endometriosis.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

This paper is a case report of a 45-year-old woman who presented with acute abdominal pain, nausea, and vomiting and was found to have acute small bowel obstruction caused by ileal endometriosis. The authors performed immediate laparotomy, where they observed an ulcerated, edematous, fragile segmental lesion above the ileocecal valve producing an annular stricture, and histology confirmed foci of endometriosis in that ileal segment. The paper explicitly notes that symptomatic small bowel endometriosis is very unusual and presents a review of the most recent literature as context. This paper is centrally about endometriosis — specifically ileal endometriosis causing acute small bowel obstruction and annular stricture.

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Abstract

INTRODUCTION: Endometriosis is defined as the presence of benign endometrial glands and stroma outside the normal anatomical location. Endometriosis of the small bowel, especially symptomatic small bowel involvement, is very unusual. CASE REPORT: We presented a 45-year-old woman with acute intestinal obstruction due to ileal endometriosis The patient complained of severe abdominal pain, nausea and vomitting. Immediate laparotomy was carried out. Above the ileocecal valve there was an ulcerated, edematous and fragile segmental lesion that caused intestinal obstruction. Histology of this ileal segment revealed endometriosis and an annular stricture that again showed foci of endometriosis. CONCLUSION: In reproductive-age women with the symptoms of intestinal obstruction, intestinal endometriosis should be kept in mind.
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Vojnosanitetski pregled 2012 Volume 69, Issue 11, Pages: 1013-1016 Acute small bowel obstruction due to ileal endometriosis: A case report and review of the most recent literature Unalp Recai Haluk (Surgery Clinic, Ataturk Training and Research Hospital, Izmır, Turkey) Introduction. Endometriosis is defined as the presence of benign endometrial glands and stroma outside the normal anatomical location. Endometriosis of the small bowel, especially symptomatic small bowel involvement, is very unusual. Case report. We presented a 45-year-old woman with acute intestinal obstruction due to ileal endometriosis The patient complained of severe abdominal pain, nausea and vomitting. Immediate laparotomy was carried out. Above the ileocecal valve there was an ulcerated, edematous and fragile segmental lesion that caused intestinal obstruction. Histology of this ileal segment revealed endometriosis and an annular stricture that again showed foci of endometriosis. Conclusion. In reproductiveage women with the symptoms of intestinal obstruction, intestinal endometriosis should be kept in mind. Keywords: ileum, intestinal obstruction, endometriosis, abdomen, acute, diagnosis, surgical procedures, operative, treatment outcome https://doi.org/10.2298/VSP111204027U Full text ( 345 KB) Cited by Akguner Taner (Surgery Clinic, Ataturk Training and Research Hospital, Izmır, Turkey) Yavuzcan Ali (Department of Gynecology and Obstetrics, Burdur Bucak State Hospital, Burdur, Turkey) Ekıncı Nese (Patology Clinic, Ataturk Training and Research Hospital, Izmır, Turkey)

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ileal Diseases Intestinal Obstruction Acute Disease Endometriosis Endometriosis Female Humans Ileal Diseases Ileal Diseases Intestinal Obstruction Intestine, Small Middle Aged

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