ENDOMETRIOSIS OF THE ILEUM CAUSING INTUSSUSCEPTION DURING PREGNANCY -REPORT OF A CASE-

Toshihito Hanaoka, Reisuke Imaji, Eiji Suzuki, Kazunobu NAGAI, Kazuitsu ISHIDA, Kohji KAWASHIMA, Yasuo Mihara
In: The journal of the Japanese Practical Surgeon Society · 1996 · vol. 57(6) , pp. 1454–1458 · doi:10.3919/ringe1963.57.1454 · W2333834395
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Ileal endometriosis caused intussusception during early pregnancy, confirmed by imaging and histopathology showing decidualization, indicating surgical resection may be necessary for this rare presentation.

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This paper reports a rare case of ileal endometriosis presenting as intussusception in a 35-year-old woman during early pregnancy, with symptoms of abdominal pain, vomiting, and diarrhea and a palpable lower abdominal mass. Ultrasound and CT showed a target-like appearance consistent with intussusception, and the patient underwent emergency surgery where a tumor was found 70 cm from the ileum end and the affected ileum segment was excised. Histopathology confirmed ileal endometriosis, demonstrating endometrial gland secretion and stromal decidualization, aligning with early pregnancy features. The authors state that pregnancy may not confer protective effects against intestinal endometriosis, and thus such disease might not respond well to hormone therapy when significant organic induration or cicatricial stricture is present. This paper is centrally about endometriosis — specifically ileal endometriosis causing intussusception during pregnancy.

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Abstract

We experienced a case of endometriosis of the ileum presenting with intussusception in an early stage of pregnancy. A 35-year-old woman was seen at the hospital because of an abdominal pain, vomiting and diarrhea. A tumor was palpated in the lower abdomen. Abdominal ultrasonography and CT revealed a target-like appearance. The patient was diagnosed as intestinal obstruction due to intussusception and underwent an emergency operation. During the operation a tumor in a portion 70cm from the ileum end was found and an excision of the ileum was carried out. The excised specimen revealed a red small cyst on the slightly depressed serosa and a submucosal tumor on the smooth mucosa. Histopathologically it was diagnosed with endometriosis of the ileum; and secretion from the endometrial gland and decidualization of stroma which were coincided with features seen in the early phase of pregnancy were confirmed. This case was thought very rare that ileal endometriosis caused intussusception and it occurred during pregnancy. Since no protective effects of pregnancy against intestinal emdometriosis are observed, this disease may not well respond to hormone therapy and demand surgical resection, if organic induration and cicatricial stricture are remarkable.
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ENDOMETRIOSIS OF THE ILEUM CAUSING INTUSSUSCEPTION DURING PREGNANCY -REPORT OF A CASE- 1996 Volume 57 Issue 6 Pages 1454-1458 Details Abstract We experienced a case of endometriosis of the ileum presenting with intussusception in an early stage of pregnancy. A 35-year-old woman was seen at the hospital because of an abdominal pain, vomiting and diarrhea. A tumor was palpated in the lower abdomen. Abdominal ultrasonography and CT revealed a target-like appearance. The patient was diagnosed as intestinal obstruction due to intussusception and underwent an emergency operation. During the operation a tumor in a portion 70cm from the ileum end was found and an excision of the ileum was carried out. The excised specimen revealed a red small cyst on the slightly depressed serosa and a submucosal tumor on the smooth mucosa. Histopathologically it was diagnosed with endometriosis of the ileum; and secretion from the endometrial gland and decidualization of stroma which were coincided with features seen in the early phase of pregnancy were confirmed. This case was thought very rare that ileal endometriosis caused intussusception and it occurred during pregnancy. Since no protective effects of pregnancy against intestinal emdometriosis are observed, this disease may not well respond to hormone therapy and demand surgical resection, if organic induration and cicatricial stricture are remarkable. A 35-year-old woman was seen at the hospital because of an abdominal pain, vomiting and diarrhea. A tumor was palpated in the lower abdomen. Abdominal ultrasonography and CT revealed a target-like appearance. The patient was diagnosed as intestinal obstruction due to intussusception and underwent an emergency operation. During the operation a tumor in a portion 70cm from the ileum end was found and an excision of the ileum was carried out. The excised specimen revealed a red small cyst on the slightly depressed serosa and a submucosal tumor on the smooth mucosa. Histopathologically it was diagnosed with endometriosis of the ileum; and secretion from the endometrial gland and decidualization of stroma which were coincided with features seen in the early phase of pregnancy were confirmed. This case was thought very rare that ileal endometriosis caused intussusception and it occurred during pregnancy. Since no protective effects of pregnancy against intestinal emdometriosis are observed, this disease may not well respond to hormone therapy and demand surgical resection, if organic induration and cicatricial stricture are remarkable. © Japan Surgical Association Favorites & Alerts Recently viewed articles

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