An Unusual Presentation of Endometriosis as an Ileocolic Intussusception with Cecal Mass: A Case Report.
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This case report describes a 32-year-old woman who presented with ileocolic intussusception and a cecal mass, ultimately diagnosed as bowel endometriosis.
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Abstract
BACKGROUND: Bowel endometriosis affects about 3.8-37% of women with endometriosis diagnosis. Most of the time endometriosis involves the recto-sigmoid. Right colon involvement is not common in endometriosis and also a few studies have reported obstructive endometriosis of bowel. Here, a case of endometriosis was reported with the ileocolic intussusception and cecal mass. CASE PRESENTATION: A 32y old woman was referred to Yas hospital due to severe low abdominal pain and vomiting. Ultrasonographic examination of her pelvis revealed bilateral ovarian cysts. Abdominal erect X-ray showed dilatation of small bowel segments. Diagnostic colonoscopy showed one small ulcer with the pressure effect of mass like lesion at cecum. The patient was taken to the operating room for excision of the mass; as a result the ileocolic intussusception was seen. After reduction, a firm mass was recognized at cecum so the ileocecal resection was performed. In pathologic examination of mass, endometriosis was reported. The postoperative period was uneventful. CONCLUSION: The diagnosis of bowel endometriosis is sometimes difficult. The case of bowel obstructive endometriosis is rare. Surgical excision of bowel endometriosis is necessary for symptomatic patients with bowel obstruction. Bowel endometriotic nodules are excised by nodulectomy or segmental resection.
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Cited by (6)
- Endometriosis as an Uncommon Cause of Intestinal Obstruction—A Comprehensive Literature Review 2023
- Beyond borders 2022
- Two Cases of Endometriosis in the Cecum Detected by Contrast-enhanced Computed Tomography with Air/Carbon Dioxide Insufflation 2020
- A rare case of ileocolic intussusception due to severe endometriosis 2020
- Symptoms of Bowel Endometriosis 2020
- Epidemiology of Bowel Endometriosis 2020
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:23:01.605684+00:00
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