Small bowel obstruction due to subserosal endometriosis: an elusive condition

Small bowel obstruction due to subserosal endometriosis: an elusive condition DOI: https://doi.org/10.18203/2320-1770.ijrcog20160610Keywords: Endometriosis, Small bowel, Small bowel obstructionAbstract 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. 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