Case report: total intestinal obstruction due to intestinal endometriosis and uterine endometriosis in a 43-year-old woman at Abdul Moeloek Hospital Bandar Lampung

Background: Intestinal endometriosis is a disorder where the endometrium glands and stroma grow outside the uterus. Endometriosis occurs in the gastrointestinal organs in 3-15% women in reproductive age. The most commonly organs that involved were rectosigmoid (71%), appendix (19%), terminal ileum (6.7%), caecum (5.5%) and transversal Endometriosis mostly occurs in age group 40-44 years old (26,4%). In addition, there is pain in the hips before menstruation. Symptoms of intestinal endometriosis are pain in the abdomen and pelvis, constipation, diarrhea, enlarged abdomen, mucus in the stool, rectal bleeding, nausea, vomiting and intestinal obstruction. Case Presentation: In this case report, a 43 years old woman with total intestinal obstruction due to intestinal endometriosis and uterine endometriosis. Patient were given laparotomy and found cystic masses in ileum, mesentrium, caecum, and uterus. Therapy given in the case are hysterectomy, resection terminal ileum until tranversal colon, and as well as end-to-end anastomose ileum and transversal colon. After successful surgical therapy, hormonal suppression therapy is continued to prevent recurrence. Conclusion: Endometriosis can involve various intraperitoneal and extraperitoneal organs. Symptoms that usually happen in endometriosis are bleeding outside the menstrual cycle, pain during menstruation, pain during intercourse, pain during defecation, pain while urinating, as well as obstruction. Keywords: Intestinal Endometriosis, Intestinal Resection, Hormonal Suppression