A case of ileocecal obstruction caused by intestinal endometriosis treated by total laparoscopic surgery

Yoko Tsuzuki, Yoichi Aoki, Iwaho Kikuchi, Michio Nojima, Masanori Nojima, Saki Tanaka, Makiko Kasahara, Nana Matsuzawa, Hiromi Aoi, Satoko Nakao, Aya Otsuka, Hanako Kasahara, Akari Koizumi, Shuichiro Endo, Chikako Suzuki, Atsushi Tajima, Koyo Yoshida
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2016 · vol. 31(2) , pp. 387–392 · doi:10.5180/jsgoe.31.387 · W2402200598
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Abstract

Endometriosis is a common condition that affects women of reproductive age. It mainly occurs in the pelvis and involves the bowel in 3-37% of cases. We report a case of intestinal endometriosis accompanied by ileocecal obstruction. The patient was a 50-year-old woman, gravida 0, para 0 who was admitted for ileus to the local hospital. A cystic tumor was identified in her ovary. She was transferred to this hospital because of suspected ileus related to the ovarian cyst. Although an ileus tube was inserted, ileus did not improve, and a contrast study showed ileocecal obstruction. Ileocecal resection and salpingo-oophorectomy were performed laparoscopically for intestinal endometriosis and ovarian endometriotic cyst. Pathological examination confirmed the presence of endometrial tissue in the lamina propria mucosae and muscularis propria of the ileum. Seventeen months after surgery, there are no signs of intestinal endometriosis recurrence.

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endometriosis

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