Endometriosis of terminal ileum: A Case report

Mumtaz Khan
In: Journal of Postgraduate Medical Institute · 2025 · doi:10.54079/jpmi.39.1.3648 · W4409271878
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A 34-year-old female with intestinal obstruction underwent right hemicolectomy for a terminal ileum stricture, which was diagnosed as endometriosis.

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This case report describes a 34-year-old female presenting with clinical signs of intestinal obstruction, including abdominal distension and tenderness. Imaging studies revealed air-fluid levels in the bowel without a clear transition point, leading to an exploratory laparotomy due to suspicion of neoplastic pathology. Surgical intervention identified a tight stricture at the terminal ileum, which was treated via right hemicolectomy, resulting in an uneventful patient recovery. This paper is centrally about endometriosis — specifically involving gastrointestinal involvement manifesting as a terminal ileal stricture.

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Abstract

Endometriosis is the result of presence of endometrial tissue at sites other than uterus. A 34 years old female is reported who presented with clinical features of intestinal obstruction. Her abdomen was distended and she was mild tender all over the abdomen. Plan X-ray showed distended small gut loops with air fluid levels. CT reported air fluid levels in small and large bowel with no definite point of transition and mild abdomino-pelvic ascites. In view of suspicion of neoplastic pathology; the patient and her attendants were counseled for exploratory laparotomy. At surgery tight stricture was found at the terminal ileum. Right hemicolectomy was done. The patient had an uneventful recovery.
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Abstract

Endometriosis is the result of presence of endometrial tissue at sites other than uterus. A 34 years old female is reported who presented with clinical features of intestinal obstruction. Her abdomen was distended and she was mild tender all over the abdomen. Plan X-ray showed distended small gut loops with air fluid levels. CT reported air fluid levels in small and large bowel with no definite point of transition and mild abdomino-pelvic ascites. In view of suspicion of neoplastic pathology; the patient and her attendants were counseled for exploratory laparotomy. At surgery tight stricture was found at the terminal ileum. Right hemicolectomy was done. The patient had an uneventful recovery. Article Details Work published in JPMI is licensed under a Creative Commons Attribution-NonCommercial 2.0 Generic License. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

References

Kennedy S, McVeigh E. Endometriosis. In: Williams NS, Bulstrode CJK, O’Connell PR, editors. Short practice of surgery. 26th ed. Florida: CRC Press; 2013. p. 1401-2. Kido K, Tanaka K, Nakagawa H. Endometriosis in the sigmoid colon diagnosed by target biopsies during menstruation. Gastro Hep Adv 2022;2(2):184-5. DOI: 10.1016/j.gastha.2022.10.001. Uzuncakmak C, Guldas A, Ozcam H, Dinc K. Scar endometriosis: a case report of this uncommon entity and review of the literature. Case Rep Obstet Gynecol 2013;2013:386783. DOI: 10.1155/2013/386783. Mehmood S, Zhao S, Van Dellon J, et al. Endometriosis of the small bowel: a diagnostic enigma. Cureus 2021;13(6):e15520. DOI: 10.7759/cureus.15520. Alabbas H. Small bowel endometriosis: a case report and review of the literature. Ann Med Surg 2019;47:24-6. Available from: https://www.elsevier.com/locate/amsu

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