A CASE OF ENDOMETRIOSIS OF THE ILEUM AND REVIEW OF THE LITERATURE

Shinji Yasuda, Hiroshige Nakano, Syusaku Yoshikawa, Yoshiki Hata, Koji Murakami, Masami Yagi
In: The journal of the Japanese Practical Surgeon Society · 1990 · vol. 51(3) , pp. 606–610 · doi:10.3919/ringe1963.51.606 · W2333123729
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This case report details a 42-year-old female with ileal endometriosis causing obstruction, treated surgically after hormonal therapy failed, and reviews 12 similar Japanese cases with common symptoms and multifocal lesions.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

The paper reports a 42-year-old woman with a two-year history of periumbilical pain and menstrual gurgling, diagnosed with endometriosis involving the ileum and treated initially with hormonal therapy before her readmission with nausea and vomiting. After deterioration despite conservative management, emergency surgery found an inflammatory ileal tumor and appendicitis, leading to appendectomy and resection of 20 cm of ileum plus adnexectomy and ovarian cyst puncture. The authors also review 12 Japanese cases of ileal endometriosis, describing common symptoms such as abdominal pain, vomiting, and melena, frequent accompanying prior histories, and coexisting pelvic or other intestinal lesions. The paper emphasizes a limitation that diagnosis and management require caution to differentiate endometriosis from malignant tumors and to appropriately treat associated pelvic lesions. This paper is centrally about endometriosis—specifically ileal endometriosis with concurrent pelvic involvement.

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Abstract

A case of endometriosis of the ileum is reported. A 42-year-old female with two-year history of periumbilical pain and gurgling during menstruation period was diagnosed to have endometriosis and successfully treated by hormonal therapy at the department of gynecology. Ten days after discharge, she was readmitted and referred to our department because of nausea and vomiting. Despite conservative therapy, her general condition became worse. Emergency surgery revealed an inflammatory tumor in the ileum 15cm from terminal ileum, and appendicitis. After appendectomy and resection of 20cm of the ileum, left adnexectomy and puncture of the right ovarian cyst was performed. We also reviewed 12 cases of endometriosis of the ileum reported in Japan. The patient group with the avarege of 36.3 years complained of abdominal pain (40%), vomiting (25%), and melena (10%); and commonly had medical histories. Besides the lesion in the ileum some of them had other lesions in the sigmoid colon, rectum, cecum, and appendix. Six patients had lesions in the uterus, ovary, and uterine tube. We should be careful attensions to differentiation from malignant tumor as well a the treatment of pelvic lesions.
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A CASE OF ENDOMETRIOSIS OF THE ILEUM AND REVIEW OF THE LITERATURE 1990 Volume 51 Issue 3 Pages 606-610 Details Abstract A case of endometriosis of the ileum is reported. A 42-year-old female with two-year history of periumbilical pain and gurgling during menstruation period was diagnosed to have endometriosis and successfully treated by hormonal therapy at the department of gynecology. Ten days after discharge, she was readmitted and referred to our department because of nausea and vomiting. Despite conservative therapy, her general condition became worse. Emergency surgery revealed an inflammatory tumor in the ileum 15cm from terminal ileum, and appendicitis. After appendectomy and resection of 20cm of the ileum, left adnexectomy and puncture of the right ovarian cyst was performed. We also reviewed 12 cases of endometriosis of the ileum reported in Japan. The patient group with the avarege of 36.3 years complained of abdominal pain (40%), vomiting (25%), and melena (10%); and commonly had medical histories. Besides the lesion in the ileum some of them had other lesions in the sigmoid colon, rectum, cecum, and appendix. Six patients had lesions in the uterus, ovary, and uterine tube. We should be careful attensions to differentiation from malignant tumor as well a the treatment of pelvic lesions. © Japan Surgical Association Favorites & Alerts Recently viewed articles

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endometriosis

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