A Case of Endometriosis of the Ileum Presenting with Intestinal Obstruction
This paper reports a case of ileal endometriosis causing intestinal obstruction in a 38-year-old female, highlighting the diagnostic challenges and the need to consider endometriosis in preoperatively undiagnosed cases of bowel obstruction in women.
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This case report describes a 38-year-old woman who was urgently hospitalized for abdominal pain and diagnosed with intestinal obstruction; an ileus tube was placed but her symptoms worsened, leading to emergency surgery on hospital day 5. Intraoperatively, the ileocecal region was inflamed and adherent, requiring a wide ileocecal resection including the ileum, and pathology confirmed intestinal endometriosis. After surgery the postoperative course was favorable, but during follow-up she had menstrual-related hematochezia, prompting colonoscopy that showed a stricture in the sigmoid colon; hormonal therapy was then ongoing for endometriosis at that site. The paper emphasizes that intestinal endometriosis is difficult to diagnose preoperatively because it lacks distinctive imaging findings and notes only 38 reported cases (including this one) of ileal endometriosis presenting with obstruction, highlighting this major limitation. This paper is centrally about endometriosis — it reports a ileal endometriosis case presenting with intestinal obstruction and discusses diagnostic challenges.
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References (5)
- Diagnosis and managemnet of endometriosis of the colon and rectum via openalex
- Endometriosis of the large bowel: A report of 11 cases via openalex
- Endometriosis of the Large Bowel Treated with Testosterone via openalex
- Endometriosis of the small intestine, producing intestinal obstruction or simulating neoplasm via openalex
- Mucosal changes in the large bowel with endometriosis: A possible cause of misdiagnosis of colitis? via openalex
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- last seen: 2026-06-10T17:14:06.276822+00:00