Ileocecal endometriosis: diagnosis and management

Ana López Carrasco, Alicia Hernández Gutiérrez, Alicia Hernández, Paula A Hidalgo Gutiérrez, Paula Alegría Hidalgo Gutiérrez, R. Rodríguez, Roberto Rodríguez González, José L Marijuán Martín, José Luis Marijuán Martín, Ignacio Zapardiel, Javier de Santiago García
Taiwanese journal of obstetrics & gynecology · 2017 · vol. 56(2) , pp. 243–246 · doi:10.1016/j.tjog.2016.09.007 · PMID:28420517 · W2605591145
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective review of seven ileocecal endometriosis cases found symptom variability hindered diagnosis, identified MRI as the gold standard for imaging diagnosis, and concluded segmental resection is indicated for most patients.

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Abstract

OBJECTIVE: Ileocecal endometriosis is rare. Symptoms range from no symptoms, cramps, vomiting, to acute intestinal obstruction. Our objective was to review our cases, clarify, and resume its most appropriate management focusing on the factors to determine diagnosis. This is a retrospective study by revision of medical charts of all ileal endometriosis cases of our unit from 2006 to 2014. CASE REPORT: Seven cases were found; three (43%) had previous endometriosis laparoscopic diagnosis, four (57%) had partial bowel obstruction episodes, three (43%) had chronic pelvic pain, and one developed acute intestinal obstruction in postoperative ileostomy closure. In three (43%), the diagnosis was made with magnetic resonance imaging (MRI) and double contrast barium enema, in one (14%) only with MRI, and the other three (43%) during surgery. All patients underwent resection of the ileum and evolved favorably. CONCLUSION: Variability in symptoms hinders diagnosis. The gold standard for diagnosis is MRI, but clinical suspicion optimizes imaging test diagnosis. Segmental resection should be indicated in the majority of the cases.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Cecal Diseases Cecal Diseases Endometriosis Endometriosis Ileal Diseases Ileal Diseases Adult Cecal Diseases Cecal Diseases Cecal Diseases Contraceptive Agents, Female Contraceptive Agents, Female Endometriosis Endometriosis Endometriosis Female Humans Ileal Diseases Ileal Diseases Ileal Diseases

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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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Cited by (20)

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