A case of small bowel obstruction secondary to intestinal endometriosis

Asiri Arachchi, Abhinav Vasudevan
In: International Journal of Case Reports and Images · 2011 · vol. 2(8) , pp. 12 · doi:10.5348/ijcri-2011-09-49-cr-4 · W1597363082
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 39-year-old female who experienced acute small bowel obstruction requiring surgery due to intestinal endometriosis causing bowel stricturing and adhesions.

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

This 2011 case report describes a 39-year-old nulliparous woman with repeated emergency presentations over three weeks for cramping abdominal pain with nausea, later progressing to acute small bowel obstruction with vomiting and inability to pass gas. Routine labs were initially normal and early imaging (abdominal X-ray) and pelvic ultrasound did not show obstruction, and a CT scan on the third presentation suggested adhesions, prompting emergency diagnostic laparoscopy and conversion to laparotomy. Surgery found a stenotic, fibrosed terminal ileum and cecum adherent to pelvic structures with inflammatory/fibrotic changes, and histology confirmed endometriosis with endometrial glands and stroma involving the serosa and muscularis propria, with no dysplasia or malignancy. This paper is centrally about endometriosis—intestinal endometriosis causing small bowel obstruction with stricturing and associated appendiceal/cecal involvement.

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Abstract

Endometriosis is a common condition in young females. It can affect various organs and present in a number of ways. Intestinal endometriosis can cause serious complications including small bowel obstruction. We report the case of a 39-year-old female who had repeated presentations to the emergency department with cyclical right iliac fossa pain caused by intestinal endometriosis that evolved to an extent where significant bowel stricturing and adhesion formation occurred causing an acute small bowel obstruction requiring a right hemicolectomy. Intestinal Endometriosis is an important differential diagnosis for abdominal pain in females of reproductive age group.

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Condition tags

endometriosis

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