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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⚙ AI-generated summary by claude@2026-07, 2026-07-09 ⓘ

This study reports a successful total laparoscopic surgery for ileocecal obstruction caused by intestinal endometriosis in a 50-year-old woman, with no recurrence after 17 months.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

This case report describes a 50-year-old woman who was admitted for ileus and found to have an ovarian cystic tumor, with subsequent evaluation indicating ileocecal obstruction. An ileus tube did not improve the condition, and contrast study confirmed obstruction, leading to laparoscopic ileocecal resection and salpingo-oophorectomy for intestinal endometriosis and an ovarian endometriotic cyst. Pathology showed endometrial tissue in the ileal lamina propria mucosae and muscularis propria. The paper is limited by its single-patient design and provides only short-term follow-up. This paper is centrally about endometriosis — it reports ileocecal obstruction due to intestinal endometriosis treated by total laparoscopic surgery.

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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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症例報告 腸閉塞を発症し腹腔鏡下手術で治療しえた 小腸子宮内膜症による回盲部狭窄の一例 2016 年 31 巻 2 号 p. 387-392 詳細 抄録 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. 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. © 2016 日本産科婦人科内視鏡学会

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