Difficult diagnosis in gastrointestinal endometriotic lesions with ileal localization

Alexandra Radu, Cătălin Bogdan Coroleucă, Elvira Brătilă
In: Obstetrica şi Ginecologia · 2020 · vol. 4(68) , pp. 167 · doi:10.26416/obsgin.68.4.2020.4020 · W3120027026
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Abstract

Endometriosis is characterized by the presence of endometrial tissue, consisting of glands and stroma, outside the uterine cavity. The diagnosis of endometriosis remains an issue due to the nonspecific nature of symptoms and the difficulty in distinguishing between the pelvic pain caused by endometriosis and the pelvic pain caused by other medical conditions such as pelvic infection or various nongynecological medical conditions. Endometriosis of the ileum represents less than 7% of all gastrointestinal endometriosis cases. The presurgical diagnosis of ileal endometriosis is extremely difficult because the medical results obtained following the clinical examination and the imagistic methods are nonspecific. Many of the ileal endometriosis cases remain undiagnosed, causing real surgical emergencies, such as intestinal obstruction.

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endometriosis

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