[Intestinal invagination due to endometriosis of the terminal ileum]

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
Review OA: closed CC0 ⤵ 7 in-corpus citations
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ 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.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

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.
Full text 2,744 characters · extracted from oa-doi-fallback · 2 sections · click to expand

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.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisdysmenorrhea

MeSH descriptors

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

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (6)

Source provenance

europepmc
last seen: 2026-10-15T06:08:49.021275+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T20:59:14.592962+00:00
unpaywall
last seen: 2026-10-14T06:23:58.021457+00:00
License: CC0 · commercial use OK