A CASE OF ILEUM ENDOMETRIOSIS PRESENTED WITH ILEUS

Tatsuro Nakagawa, Toshiyuki Yohda, T Yoon, Kazuhiko Yoshida, Tetsuji Fujita, Kenji Sakurai, Seiichi Yamazaki
In: The journal of the Japanese Practical Surgeon Society · 1991 · vol. 52(3) , pp. 598–601 · doi:10.3919/ringe1963.52.598 · W2320505263
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This case report details a 33-year-old woman with ileal endometriosis presenting as ileus, highlighting the rarity and typical characteristics of this condition.

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This case report describes a 33-year-old woman who presented with acute abdominal pain and was initially misdiagnosed with chronic pancreatitis before gastrographin imaging revealed stenosis at the terminal ileum. Surgical intervention via ileocecal resection confirmed the presence of an inflammatory tumor identified as ileal endometriosis, which caused mechanical ileus. The authors note that while this condition is rare, it typically affects women in their thirties and is frequently associated with intrapelvic endometriosis and menstruation-related symptoms. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis affecting the intestinal tract and presenting as bowel obstruction.

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Abstract

A case of ileum endometriosis presented with ileus is reported. The case is a 33-year-old woman, who has had pain all over the abdominal region at menstruation and has been receiving medication under a diagnosis of chronic pancreatitis. On February 14, 1990, she was hospitalized urgently because of accentuated abdominal pain. Since gastrographin revealed a stenotic shadow at the terminal ileum, she was introduced to the surgical unit under the ileus.Surgically, an inflammatory tumor was palpable about 10 cm orally from the terminal part of the ileum; on the oral side from the tumor, ileum dilated and serosa partially presented a coarse, fine granular appearance. Ileocecalresection was performed. Ileal endometriosis is so rare that only 17 cases have so far been reported in Japan. It commonly occurs in one's thirties, with not more than unipara, complicated intrapelvic endometriosis-incidence of 50%, ileus symptom-bearing rate of 80%, and without apprecialble differences between Japan and the West.Usually, we should take medical care of patients complaining of any menstruation-related abdominal pain not only by dealing with it as a mere “menstrual pain”, but also bearing a possible intestinal endometriosis in mind.
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A CASE OF ILEUM ENDOMETRIOSIS PRESENTED WITH ILEUS 1991 Volume 52 Issue 3 Pages 598-601 Details Abstract A case of ileum endometriosis presented with ileus is reported. The case is a 33-year-old woman, who has had pain all over the abdominal region at menstruation and has been receiving medication under a diagnosis of chronic pancreatitis. On February 14, 1990, she was hospitalized urgently because of accentuated abdominal pain. Since gastrographin revealed a stenotic shadow at the terminal ileum, she was introduced to the surgical unit under the ileus. Surgically, an inflammatory tumor was palpable about 10 cm orally from the terminal part of the ileum; on the oral side from the tumor, ileum dilated and serosa partially presented a coarse, fine granular appearance. Ileocecalresection was performed. Ileal endometriosis is so rare that only 17 cases have so far been reported in Japan. It commonly occurs in one's thirties, with not more than unipara, complicated intrapelvic endometriosis-incidence of 50%, ileus symptom-bearing rate of 80%, and without apprecialble differences between Japan and the West. Usually, we should take medical care of patients complaining of any menstruation-related abdominal pain not only by dealing with it as a mere “menstrual pain”, but also bearing a possible intestinal endometriosis in mind. Surgically, an inflammatory tumor was palpable about 10 cm orally from the terminal part of the ileum; on the oral side from the tumor, ileum dilated and serosa partially presented a coarse, fine granular appearance. Ileocecalresection was performed. Ileal endometriosis is so rare that only 17 cases have so far been reported in Japan. It commonly occurs in one's thirties, with not more than unipara, complicated intrapelvic endometriosis-incidence of 50%, ileus symptom-bearing rate of 80%, and without apprecialble differences between Japan and the West. Usually, we should take medical care of patients complaining of any menstruation-related abdominal pain not only by dealing with it as a mere “menstrual pain”, but also bearing a possible intestinal endometriosis in mind. © Japan Surgical Association Favorites & Alerts Recently viewed articles

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endometriosis

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