Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature

In: Journal of Surgery · 2014 · vol. 2(6) , pp. 101 · doi:10.11648/j.js.20140206.15 · W2127524383
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AI-generated summary by claude@2026-06, 2026-06-08

This case report details a patient with multifocal intestinal endometriosis causing large bowel obstruction and rectal bleeding, initially misdiagnosed as colorectal cancer, and emphasizes considering endometriosis in young patients with obstructive symptoms.

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AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text

This paper reports a case of a young patient presenting with large bowel obstruction and rectal bleeding, initially thought to be colorectal cancer, and describes the patient’s multifocal intestinal endometriosis diagnosed after partial colectomy. The histology result was endometriosis, and the authors emphasize that intestinal endometriosis can mimic other causes of intestinal obstruction due to nonspecific symptoms such as recurrent lower abdominal pain and distension. The paper is limited by its single case-report design, with broader insights provided only through a brief review of related literature rather than systematic data. This paper is centrally about endometriosis — specifically multifocal intestinal endometriosis presenting as intestinal obstruction and rectal bleeding.

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Abstract

Endometriosis causing intestinal obstruction presents a difficult challenge in making a timely and accurate clinical diagnosis because of the non-specific nature of its presentation which can mimic other causes of intestinal obstruction. We report a case of large bowel obstruction and rectal bleeding secondary to multifocal intestinal endometriosis which was thought to be colorectal cancer. Patient had partial colectomy done and histology showed endometriosis. Intestinal endometriosis should be considered as a differential diagnosis in a young patient with recurrent lower abdominal pains and distension in conjunction with signs of obstruction.
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Abstract

Endometriosis causing intestinal obstruction presents a difficult challenge in making a timely and accurate clinical diagnosis because of the non-specific nature of its presentation which can mimic other causes of intestinal obstruction. We report a case of large bowel obstruction and rectal bleeding secondary to multifocal intestinal endometriosis which was thought to be colorectal cancer. Patient had partial colectomy done and histology showed endometriosis. Intestinal endometriosis should be considered as a differential diagnosis in a young patient with recurrent lower abdominal pains and distension in conjunction with signs of obstruction. | Published in | Journal of Surgery (Volume 2, Issue 6) | | DOI | 10.11648/j.js.20140206.15 | | Page(s) | 101-104 | | Creative Commons | This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. | | Copyright | Copyright © The Author(s), 2014. Published by Science Publishing Group |

Keywords

Endometriosis, Intestinal Obstruction, Nulliparous, Infertility

References

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Rev Prat. 1990; 40:1077-1081. | | [21] | Anaf V, El Nakadi I, Simon P, van de Stadt J, Fayt I, Simonart T, Noel JC. Preferential infiltration of large bowel endometriosis along the nerves of the colon. Hum Reprod. 2004; 19:996-1002. | | [22] | Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol. 2001; 25:445-454. | | [23] | Cappel MS, Friedman D, Mikhail N. Endometriosis of the terminal ileum simulating the clinical, roentgenographic, and surgical findings in Crohn’s disease. Am J Gastroenterol. 1991; 86:1057-1062. | | [24] | Dimoulios P, Koutrobakis IE, Tzardi M, Antoniou P, Matalliotakis IM, Kouroumalis EA. A case of sigmoid endometriosis difficult to differentiate from colon cancer. BMC Gastroenterol. 2003; 3:18. | | [25] | Remorgida V, Ferrero S, Fulcheri E, Ragni N, Martin DC. Bowel endometriosis: presentation, diagnosis, and treatment. Obstet Gynecol Surv. 2007;62:461–470 | | [26] | Orbach IK, Reich H, Orbach M, Orbach L. Laparascopic treatment of recurrent small bowel obstruction secondary to ileal endometriosis. J Minim Invasive Gynecol. 2007; 14:113-115. | | [27] | Antonella De Ceglie, Claudio Bilardi, Sabrina Blanchi, Massimo Picasso, Marcello Di Muzio, Alberto Trimarchi, Massimo Conio. Acute small bowel obstruction caused by endometriosis: A case report and review of literature. World J Gastroenterol. 2008; 14(21):3430-3434. | | [28] | Boadech JM. Endoscopic diagnosis of colonic endometriosis. Gastrointest Endosc. 1992; 38:568-580. | | [29] | Baong Peng, Jianhua Qian, Xiaoyun Wan, Chang Su. Endometriosis induced acute intestinal obstruction: A case report and literature review. Scientific Research and Essays. 2011;6(14):2976-2979. | Cite This Article - APA Style Babatunde M. Duduyemi, Osei Owusu-Afriyie, Prince Bohene, Akinwale N. Titiloye, Sampene P. Ossei, et al. (2014). Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature. Journal of Surgery, 2(6), 101-104. https://doi.org/10.11648/j.js.20140206.15 ACS Style Babatunde M. Duduyemi; Osei Owusu-Afriyie; Prince Bohene; Akinwale N. Titiloye; Sampene P. Ossei, et al. Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature. J. Surg. 2014, 2(6), 101-104. doi: 10.11648/j.js.20140206.15 AMA Style Babatunde M. Duduyemi, Osei Owusu-Afriyie, Prince Bohene, Akinwale N. Titiloye, Sampene P. Ossei, et al. Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature. J Surg. 2014;2(6):101-104. doi: 10.11648/j.js.20140206.15 - @article{10.11648/j.js.20140206.15, author = {Babatunde M. Duduyemi and Osei Owusu-Afriyie and Prince Bohene and Akinwale N. Titiloye and Sampene P. Ossei and Ernest K. Adjei and Babarinde A. Ojo}, title = {Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature}, journal = {Journal of Surgery}, volume = {2}, number = {6}, pages = {101-104}, doi = {10.11648/j.js.20140206.15}, url = {https://doi.org/10.11648/j.js.20140206.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140206.15}, abstract = {Endometriosis causing intestinal obstruction presents a difficult challenge in making a timely and accurate clinical diagnosis because of the non-specific nature of its presentation which can mimic other causes of intestinal obstruction. We report a case of large bowel obstruction and rectal bleeding secondary to multifocal intestinal endometriosis which was thought to be colorectal cancer. Patient had partial colectomy done and histology showed endometriosis. Intestinal endometriosis should be considered as a differential diagnosis in a young patient with recurrent lower abdominal pains and distension in conjunction with signs of obstruction.}, year = {2014} } - TY - JOUR T1 - Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature AU - Babatunde M. Duduyemi AU - Osei Owusu-Afriyie AU - Prince Bohene AU - Akinwale N. Titiloye AU - Sampene P. Ossei AU - Ernest K. Adjei AU - Babarinde A. Ojo Y1 - 2014/12/22 PY - 2014 N1 - https://doi.org/10.11648/j.js.20140206.15 DO - 10.11648/j.js.20140206.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 101 EP - 104 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20140206.15 AB - Endometriosis causing intestinal obstruction presents a difficult challenge in making a timely and accurate clinical diagnosis because of the non-specific nature of its presentation which can mimic other causes of intestinal obstruction. We report a case of large bowel obstruction and rectal bleeding secondary to multifocal intestinal endometriosis which was thought to be colorectal cancer. Patient had partial colectomy done and histology showed endometriosis. Intestinal endometriosis should be considered as a differential diagnosis in a young patient with recurrent lower abdominal pains and distension in conjunction with signs of obstruction. VL - 2 IS - 6 ER - Author Information Copyright © 2012 -- 2026 Science Publishing Group – All rights reserved.

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