A rare case of intestinal obstruction caused by endometriosis

Kenneth Oluchukwu Ugwuanyi, Kingsley Odinaka Idoko, Onyekachi A. Onu, Chinedu Onwuka Ndukwe, Harrison Chiro Ugwuoroko, Achomma Amobi Egwuonwu, Princeston Chukwuemeka Okam
In: World Journal of Advanced Research and Reviews · 2025 · vol. 26(1) , pp. 2910–2914 · doi:10.30574/wjarr.2025.26.1.1409 · W4409790607
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A 33-year-old woman presented with acute intestinal obstruction, leading to an exploratory laparotomy that revealed a rectosigmoid mass diagnosed as endometriosis, highlighting this rare complication of the condition.

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This case report describes a 33-year-old woman who presented with acute intestinal obstruction and a history of similar conservative-managed symptoms. Following resuscitation and initial conservative management, the patient underwent an exploratory laparotomy which revealed a rectosigmoid mass. Histological examination confirmed the diagnosis of endometriosis, identifying it as the cause of the bowel obstruction. The authors highlight this presentation as a rare complication, noting that the rectosigmoid region is the most common site for such intestinal involvement. This paper is centrally about endometriosis — specifically, its rare manifestation as a cause of acute intestinal obstruction via rectosigmoid lesions.

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Abstract

Intestinal obstruction is a rare complication of endometriosis, a condition characterised by the deposition of endometrial tissue outside the uterine cavity. The rectosigmoid region is the most common site for intestinal endometriosis. We report a case of 33-year-old woman who presented with features of acute intestinal obstruction of 2 days duration. She has had similar symptoms in the past which were managed conservatively. She was resuscitated, initially managed conservatively, and eventually had exploratory laparotomy with finding of a rectosigmoid mass and a histological diagnosis of endometriosis. The case was reported because of the rarity of endometriosis causing intestinal obstruction
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1 Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria. 2 Urology Department, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria. 3 Histopathology Department, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria. 4 Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria. World Journal of Advanced Research and Reviews, 2025, 26(01), 2910-2914 Article DOI: 10.30574/wjarr.2025.26.1.1409 Received on 14 March 2025; revised on 20 April 2025; accepted on 22 April 2025 Intestinal obstruction is a rare complication of endometriosis, a condition characterised by the deposition of endometrial tissue outside the uterine cavity. The rectosigmoid region is the most common site for intestinal endometriosis. We report a case of 33-year-old woman who presented with features of acute intestinal obstruction of 2 days duration. She has had similar symptoms in the past which were managed conservatively. She was resuscitated, initially managed conservatively, and eventually had exploratory laparotomy with finding of a rectosigmoid mass and a histological diagnosis of endometriosis. The case was reported because of the rarity of endometriosis causing intestinal obstruction Endometriosis; Intestinal obstruction; Rectosigmoid; Rectum; Sigmoid Preview Article PDF Kenneth Oluchukwu Ugwuanyi, Kingsley Odinaka Idoko, Onyekachi Amos Onu, Chinedu Onwuka Ndukwe, Harrison Chiro Ugwuoroko, Achomma Amobi Egwuonwu and Princeston Chukwuemeka Okam. A rare case of intestinal obstruction caused by endometriosis. World Journal of Advanced Research and Reviews, 2025, 26(1), 2910-2914. Article DOI: https://doi.org/10.30574/wjarr.2025.26.1.1409

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