ENDOMETRIOSIS OF THE ILEUM WITH CHRONIC PARTIAL INTESTINAL OBSTRUCTION

In: Journal of the American Medical Association · 1940 · vol. 115(7) , pp. 520 · doi:10.1001/jama.1940.72810330001010 · W1965018346
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AI-generated summary by claude@2026-06, 2026-06-08

This case report describes two instances of ileal endometriosis leading to chronic partial intestinal obstruction, noting its rarity compared to other intestinal sites.

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Abstract

Endometriosis is not an uncommon condition. Sampson is quoted as seeing it 101 times in 474 gynecologic operations and Green-Armytage in 8.9 per cent of 1,000 surgical cases.1In this hospital endometrial implants are found in about 10 per cent of pelvic operations.2Regarding the organs involved, figures from the Mayo Clinic3state that 689 organs of 576 patients were involved with this diagnosis. These were mostly pelvic genital organs, and the intestine was involved in only seventeen instances. In these instances the sigmoid flexure of the colon was the site of endometrial implants in fourteen cases, the appendix in one and the ileum in two cases. Keene and Kimbrough4did not find the small intestine involved in any of 118 proved cases, nor did Cullen5in reporting personal observations over a twenty-five year period. Endometrial implants in the ileum, therefore, appear to be an

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endometriosis

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