Darminvagination durch Endometriose des terminalen Ileums

Reinhard Mittermair, R P Mittermair, Mittermair RP, Prommegger R, Rupert Prommegger, R Prommegger, Zelger BG, B. Zelger, B G Zelger, E Bodner, Bodner E, Ehud Bodner
Deutsche medizinische Wochenschrift (1946) · 2008 · vol. 124(50) , pp. 1522–1524 · doi:10.1055/s-2007-1023885 · PMID:10633779 · W2050419626
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This paper reports on a 39-year-old female patient with nausea and abdominal pain due to terminal ileum endometriosis causing intestinal invagination and ileus.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

The paper reports a clinical case of a 39-year-old woman with nausea and crampy right lower abdominal pain, in whom imaging for suspected Crohn’s disease showed terminal ileum wall thickening with stenosis and proximal small-bowel dilatation. Intraoperatively, the terminal ileum was scar-thickened and subtotally invaginated, consistent with intussusception. Histology of the resected specimen demonstrated submucosal endometriosis while the small-bowel mucosa was intact; the main limitation is that this is a single case report without broader generalizability. This paper is centrally about endometriosis — specifically terminal ileal endometriosis causing intussusception/ileus.

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Abstract

HISTORY AND CLINICAL FINDINGS: A 39 year old female patient presented with nausea and crampy abdominal pain in the right lower quadrant. INVESTIGATIONS: Physical examination showed a markedly distended abdomen with a diffuse pain, punctum maximum in the right lower part of the abdomen and reduced peristalsis. Plain abdominal x-rays revealed slightly dilated loops of small bowel with air-fluid levels. Abdominal ultrasound revealed thickening of the bowel wall of the distal ileum and some free fluid. To exclude Crohn's disease, Sellink-computer tomography was performed, which also showed thickening of the wall of the terminal ileum and dilated bowel loops proximal to the underlying stenosis. DIAGNOSIS, TREATMENT AND COURSE: Intraoperatively, the terminal ileum was thickened by scar tissue and subtotally invaginated. Histologic investigation of the resected specimen showed submucosal endometriosis. CONCLUSION: Endometriosis of the small bowel should be considered carefully in the differential diagnosis of female patients of reproductive age who suffer from symptoms of ileus, dysmenorrhea and sterility.
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Abstract

History and clinical findings: A 39 year old female patient presented with nausea and crampy abdominal pain in the right lower quadrant. Investigations: Physical examination showed a markley distended abdomen with a diffuse pain, punctum maximum in the right lower part of the abdomen and reduced peristalsis. Plain abdominal x-rays revealed slightly dilated loops of small bowel with air-fluid levels. Abdominal ultrasound revealed thickening of the bowel wall of the distal ileum and some free fluid. To exclude Crohn's disease, Sellink-computertomography was performed, which also showed thickening of the wall of the terminal ileum and dilated bowel loops proximal to the underlying stenosis. Diagnosis, treatment and course: Intraoperatively, the terminal ileum was thickened by scar tissue and subtotally invaginated. Histologic investigation of the resected specimen showed submucosal endometriosis.

Conclusion

Endometriosis of the small bowel should be considered carefully in the differential diagnosis of female patients of reproductive age who suffer from symptoms of ileus, dysmenorrhea and sterility.

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Condition tags

endometriosisdysmenorrhea

MeSH descriptors

Endometriosis Ileal Diseases Ileal Diseases Intussusception Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Ileal Diseases Ileal Diseases Ileal Diseases Ileal Diseases Ileum Ileum Ileum Intussusception

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.

Cited by (6)

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