Ileocecal intussusception as the initial presentation of endometriosis: case report.

Agustín E. Pinsak, Diana Alejandra Pantoja Pachajoa, René M. Palacios Huatuco, Germán Viscido, Germán R Viscido, Facundo Mandojana, Alejandro M Doniquian
Journal of surgical case reports · 2021 · vol. 2021(12) , pp. rjab556 · doi:10.1093/jscr/rjab556 · PMID:34987756 · PMC8716011 · W4205881707
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 33-year-old woman whose acute abdomen and ileocolic intussusception were caused by cecal endometriosis, requiring right hemicolectomy.

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Abstract

Cecal endometriosis is a rare entity that can present as nonspecific acute abdominal pain and can be complicated by ileocolic intussusception, which is extremely infrequent. We present the case of a 33-year-old woman with no relevant pathological antecedents who consulted for abdominal pain for 5 days, associated with rebound tenderness and abdominal guarding on the right lower quadrant and a palpable mass during the physical examination. Computed tomography was realized and emergency surgery performed due to suspected ileocolic intussusception. The laparoscopic examination identified an ileocolic intussusception associated with a tumor. Conversion to open surgery was needed, and an oncological right hemicolectomy with ileotransverse anastomosis was carried out. Histopathological study reported ileocolic intussusception and a focus of cecal endometriosis. Currently, the patient does not have recurrences. Ileocolic intussusception secondary to deep endometriosis requires great diagnostic presumption in women of childbearing age with acute abdomen diagnosis.

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (10)

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