Acute small bowel obstruction secondary to ileal endometriosis: report of a case

Jeffrey R. Ridha, Ridha JR, Cassaro S, Sebastiano Cassaro
Surgery today · 2003 · vol. 33(12) , pp. 944–947 · doi:10.1007/s00595-003-2613-4 · PMID:14669090 · W2088301102
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-28 ⓘ

This case report describes a rare instance of acute small bowel obstruction caused by ileal endometriosis, noting diagnostic challenges and definitive treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a single case of acute small bowel obstruction caused by endometriosis involving the terminal ileum, describing how a rare presentation can mimic other causes of intestinal obstruction. The authors note that establishing a preoperative diagnosis is difficult because symptoms are vague and presentations resemble other etiologies, and they emphasize that diagnosis relies on a high index of suspicion. They state that definitive management involved resection of the affected ileal segment with primary anastomosis, and that adjuvant hormonal therapy may prevent recurrence, with the primary limitation being that the evidence is based on a single case. This paper is centrally about endometriosis — it presents an acute small bowel obstruction secondary to ileal endometriosis.

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Abstract

We report a case of acute small bowel obstruction occurring secondary to endometriosis of the terminal ileum. Ileal endometriosis is a rare condition that can cause acute small bowel obstruction. As this case and others in the literature highlight, establishing a preoperative diagnosis is very difficult due to the vagueness of symptoms and similarity in presentation to other causes of obstruction, and is based on a high index of suspicion. However, this disorder should be considered in the differential diagnosis of women of child-bearing age who present with symptoms of obstruction. The definitive treatment includes resection of the involved segment with primary anastomosis, and adjuvant hormonal therapy may prevent recurrence.
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Abstract We report a case of acute small bowel obstruction occurring secondary to endometriosis of the terminal ileum. Ileal endometriosis is a rare condition that can cause acute small bowel obstruction. As this case and others in the literature highlight, establishing a preoperative diagnosis is very difficult due to the vagueness of symptoms and similarity in presentation to other causes of obstruction, and is based on a high index of suspicion. However, this disorder should be considered in the differential diagnosis of women of child-bearing age who present with symptoms of obstruction. The definitive treatment includes resection of the involved segment with primary anastomosis, and adjuvant hormonal therapy may prevent recurrence. Similar content being viewed by others Author information Authors and Affiliations Rights and permissions About this article Cite this article Ridha, J., Cassaro, S. Acute Small Bowel Obstruction Secondary to Ileal Endometriosis: Report of a Case. Surg Today 33, 944–947 (2003). https://doi.org/10.1007/s00595-003-2613-4 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/s00595-003-2613-4

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ileum Intestinal Obstruction Adult Adult Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Female Humans Humans Ileum Ileum Ileum Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction

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 ]

References (18)

Cited by (36)

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