Small bowel obstruction due to subserosal endometriosis: an elusive condition

Garima Mishra, Manu Vats, Diwakar Pandey, Azaz Akhtar
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 907–912 · doi:10.18203/2320-1770.ijrcog20160610 · W2288950889
article OA: diamond CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details a 23-year-old woman who presented with acute small bowel obstruction due to subserosal endometriosis, initially misdiagnosed as tuberculosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a case of acute small bowel obstruction in a 23-year-old woman with a 1-year history of intermittent abdominal pain and distension, weight loss, and a CECT finding of a long-segment distal ileal stricture. With a clinical and biochemical picture suggestive of peritonitis and a provisional diagnosis of tubercular ileo-cecal stricture perforation, the authors performed a right limited hemicolectomy with ileo-ascending anastomosis and a proximal loop ileostomy. Histopathology of the resected ileum showed subserosal endometriosis, and the postoperative course was uneventful over 1 year of follow-up without hormonal therapy. This paper is centrally about endometriosis — it describes subserosal small-bowel endometriosis presenting as acute small bowel obstruction.

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Abstract

The bowel is involved in 3.8 to 37% of women with endometriosis, out of which nearly 1% present with signs of bowel obstruction to the surgeon. This report describes a case of acute small bowel obstruction in a 23 years old woman. The patient gave a history of intermittent episodes of pain abdomen and abdominal distension for the past 1 year with significant loss of weight. The menstrual cycles were normal. Although there was no history of Tuberculosis, a positive history of contact was present. The clinical and biochemical picture was suggestive of peritonitis. CECT of the abdomen revealed a long segment distal ileal stricture. With a provisional diagnosis of Tubercular Ileo-Caecal stricture perforation, a midline exploratory laparotomy was performed. The procedure consisted of right limited hemicolectomy and primary ileo-ascending anastomosis with a proximal loop ileostomy. Ileostomy was done to allow the healing of distal anastomosis and closure was done after 4 weeks. Histopathology of the resected segment of ileum revealed subserosal endometriosis. Postoperatively, the patient was not given any hormonal therapy and recovery has been uneventful over the past 1 year of follow up.

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Condition tags

endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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