Diagnosis and treatment of uncommon ileal endometriosis: a case report and literature review

Mabrouk M, M Mabrouk, Mohamed Mabrouk, D. Raimondo, Diego Raimondo, M. Cofano, Cofano M, Cocchi L, Laura Cocchi, L Cocchi, Paradisi R, Roberto Paradisi, R. Paradisi, Renato Seracchioli, R. Seracchioli
Facts, views & vision in ObGyn · 2021 · vol. 13(4) , pp. 405–410 · doi:10.52054/fvvo.13.4.046 · PMID:35026103 · PMC9148712 · W4205358301
article OA: gold CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report and literature review details an uncommon surgically treated case of exophytic ileal endometriosis and discusses its diagnosis and management.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-20 · read from full text ⓘ

This case report and literature review examine the diagnosis and surgical management of rare exophytic ileal endometriosis, a condition that is often asymptomatic and difficult to detect due to its location in the small bowel. The authors highlight the necessity for detailed pre-operative counseling regarding the risks associated with intestinal surgery when treating this challenging form of gastrointestinal involvement. They emphasize that while rectosigmoid disease is common, small bowel lesions require specific clinical awareness and careful surgical planning to ensure optimal patient outcomes. This paper is centrally about endometriosis — specifically focusing on the uncommon presentation, diagnostic challenges, and treatment of deep infiltrating lesions within the ileum.

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Abstract

Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It is a common finding in premenopausal women and commonly affects the gastrointestinal tract, especially the rectosigmoid tract. Small bowel involvement is rare and usually asymptomatic making diagnosis difficult. Here we report an uncommon case of exophytic ileal endometriosis surgically treated. Detailed pre-operative counselling on the risk of ileal surgery should always be considered in all cases with endometriosis requiring surgery. We also present a review of the literature regarding the clinical presentation, diagnosis, and treatment of this challenging condition.
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Abstract

Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It is a common finding in premenopausal women and commonly affects the gastrointestinal tract, especially the rectosigmoid tract. Small bowel involvement is rare and usually asymptomatic making diagnosis difficult. Here we report an uncommon case of exophytic ileal endometriosis surgically treated. Detailed pre-operative counselling on the risk of ileal surgery should always be considered in all cases with endometriosis requiring surgery. We also present a review of the literature regarding the clinical presentation, diagnosis, and treatment of this challenging condition.

Keywords

ileal endometriosis, endometriosis, small bowel endometriosis, laparoscopic surgery, laparoscopy

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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.

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