Obstrucción intestinal secundaria a endometriosis. Informe de caso

Federico Suldrup, Candela Echezarreta, Pedro Uad
In: Revista del Hospital Italiano de Buenos Aires · 2025 · vol. 45(2) , pp. e0000434 · doi:10.51987/rev.hosp.ital.b.aires.v45i2.434 · W4410850195
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⚙ AI-generated summary by claude@2026-06, 2026-06-22 ⓘ

This case report details a 56-year-old female with intestinal occlusion caused by gastrointestinal endometriosis near the ileocecal valve, managed with surgical resection.

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The paper reports a case of a 56-year-old patient who presented with acute abdomen features including abdominal pain, distension, nausea, vomiting, and inability to pass gas, with laboratory and imaging studies confirming intestinal occlusion. Exploratory laparoscopy identified a stenosing mass near the ileocecal valve, and histopathology established the diagnosis of gastrointestinal endometriosis. The authors note that although intestinal endometriosis is rare, it can cause acute abdomen and requires a high index of suspicion for diagnosis; the therapeutic management described included resection of the affected segment with intestinal anastomosis. This paper is centrally about endometriosis — it specifically documents endometriosis of the gastrointestinal tract presenting as intestinal obstruction treated laparoscopically.

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Abstract

We present the case of a 56-year-old female patient who consulted for abdominal pain associated with distension, nausea, vomiting, and absence of gas elimination. Complementary laboratory and imaging studies confirmed the suspicion of intestinal occlusion. Subsequent exploratory laparoscopy confirmed the presence of a stenosing tumor close to the ileocecal valve, whose pathology proved to be gastrointestinal endometriosis. Gastrointestinal endometriosis, although rare, can produce a picture of an acute abdomen and, for its diagnosis, requires a high index of suspicion. Therapeutic management included resection of the affected segment with intestinal anastomosis.
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Obstrucción intestinal secundaria a endometriosis. Informe de caso Contenido principal del artículo Resumen Se presenta el caso de una paciente de 56 años que consulta por dolor abdominal asociado a distensión, náuseas, vómitos y ausencia de eliminación de gases. Los estudios complementarios de laboratorio e imagenológicos confirmaron la sospecha de oclusión intestinal. La laparoscopia exploradora posterior confirmó la presencia de una tumoración estenosante próxima a la válvula ileocecal, cuya anatomía patológica resultó ser endometriosis gastrointestinal. La endometriosis gastrointestinal, aunque rara, puede producir un cuadro de abdomen agudo y, para su diagnóstico, requiere un alto índice de sospecha. El manejo terapéutico incluyó la resección del segmento afectado con anastomosis intestinal. Downloads Detalles del artículo Sección Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. Cómo citar Referencias Guillén Morales C, Carabias Hernández A, Hernández Bartolomé MÁ, et al. Endometriosis como causa de obstrucción intestinal tratada por vía laparoscópica. Prog Obstet Ginecol. 2014;57(10):461-463. https://doi.org/10.1016/j.pog.2014.07.013. DOI: https://doi.org/10.1016/j.pog.2014.07.013 Thirumurthy SK, Mohammed M. A rare case of invasive endometriosis causing intestinal obstruction. J Surg Case Rep. 2024;2024(2):rjae082. https://doi.org/10.1093/jscr/rjae082. DOI: https://doi.org/10.1093/jscr/rjae082 El Bakouri A, El Karouachi A, Bouali M, et al. Acute colonic occlusion over endometriosis: About a case. Int J Surg Case Rep. 2021;80:105615. https://doi.org/10.1016/j.ijscr.2021.02.001. DOI: https://doi.org/10.1016/j.ijscr.2021.02.001 Pardo MI, Vázquez-Rodríguez M, Vidal R, et al. Obstrucción intestinal secundaria a endometriosis. Clin Invest Ginecol Obstet. 2011;38(4):150-152. https://doi.org/10.1016/j.gine.2009.12.004. DOI: https://doi.org/10.1016/j.gine.2009.12.004 Slama L, El Filali A, Rhazi R, et al. Deep endometriosis of ileocecum complicated by acute intestinal obstruction: a case report. J Int Med Res. 2023;51(12):3000605231191584. https://doi.org/10.1177/03000605231191584. DOI: https://doi.org/10.1177/03000605231191584 Galazis N, Arul D, Wilson J, et al. Bowel endometriosis. BMJ Case Rep. 2014;2014:bcr2013202140. https://doi.org/10.1136/bcr-2013-202140. DOI: https://doi.org/10.1136/bcr-2013-202140 Alexandrino G, Lourenço LC, Carvalho R, et al. Endometriosis: a rare cause of large Bowel obstruction. GE Port J Gastroenterol. 2018;25(2):86-90. https://doi.org/10.1159/000480707. DOI: https://doi.org/10.1159/000480707 Mușat F, Păduraru DN, Bolocan A, et al. Endometriosis as an uncommon cause of intestinal obstruction- a comprehensive literature review. J Clin Med. 2023;12(19):6376. https://doi.org/10.3390/jcm12196376. DOI: https://doi.org/10.3390/jcm12196376

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endometriosis

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