Ileocecal endometriosis complicated by intestinal obstruction

Si-Si Tang, Tang Si-si, Tang SS, Li SY, Shu-Yan Li, Zhang JX, Jianxin Zhang, Jian-Xin Zhang, Wei Liu, Liu W
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2026 · vol. 58(10) , pp. 1351–1353 · doi:10.1016/j.dld.2026.07.011 · PMID:42532751 · W7171802454
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A case report describes a 37-year-old woman with ileocecal endometriosis complicated by intestinal obstruction, identified via contrast-enhanced computed tomography showing mural thickening and proximal small-bowel air-fluid levels.

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Abstract

A 37-year-old woman presented with a 2-day history of abdominal pain and vomiting. Her obstetric history was notable for a cesarean delivery 14 years previously, and she reported consistent, regular menses. Right lower quadrant tenderness and hyperactive bowel sounds were noted on physical exam. No remarkable abnormalities were identified on initial laboratory evaluation. Contrast-enhanced computed tomography revealed ileocecal mural thickening with perilesional inflammatory exudation and proximal small-bowel air-fluid levels, in keeping with obstruction (Fig.

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