Irritable bowel syndrome or endometriosis, or both?

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This case report describes a patient whose irritable bowel syndrome diagnosis was reevaluated following laparotomy for small bowel obstruction, revealing concomitant endometriosis.

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Abstract

Both irritable bowel syndrome and endometriosis are common conditions, although symptomatic gastrointestinal endometriosis is extremely rare. We report the case of a patient initially thought to have irritable bowel syndrome, in whom the diagnosis of endometriosis only became clear following a laparotomy for small bowel obstruction. This case highlights the need to question the diagnosis in patients with irritable bowel syndrome when there is any uncertainty, and also to appreciate that other pathology can arise, even when the diagnosis is secure.
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Case reports Irritable bowel syndrome or endometriosis, or both? - R Lea - P J Whorwell European Journal of Gastroenterology & Hepatology 15(10):p 1131-1133, October 2003. Both irritable bowel syndrome and endometriosis are common conditions, although symptomatic gastrointestinal endometriosis is extremely rare. We report the case of a patient initially thought to have irritable bowel syndrome, in whom the diagnosis of endometriosis only became clear following a laparotomy for small bowel obstruction. This case highlights the need to question the diagnosis in patients with irritable bowel syndrome when there is any uncertainty, and also to appreciate that other pathology can arise, even when the diagnosis is secure. Copyright © 2003 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosisirritable_bowel_syndrome

MeSH descriptors

Endometriosis Ileal Diseases Irritable Bowel Syndrome Adult Diagnosis, Differential Endometriosis Endometriosis Female Humans Ileal Diseases Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Irritable Bowel Syndrome

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europepmc
last seen: 2026-08-03T06:10:56.557307+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:12:44.121522+00:00
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