Small bowel obstruction secondary to endometriosis in a 30-year-old nulliparous woman managed at a level-5 private hospital in Nairobi, Kenya

This case report describes a 30-year-old nulliparous woman in Nairobi who presented with generalized abdominal pain and vomiting, leading to the diagnosis of ileocaecal and appendiceal obstruction caused by an obstructing mass. Surgical intervention via right hemicolectomy with ileocolic anastomosis was performed successfully, and subsequent histopathological examination confirmed the presence of endometrial tissue within the appendix and ileocaecal wall. The authors note that while intestinal obstruction from endometriosis is rare, it should be considered as a potential cause of bowel obstruction in premenopausal women, with management typically involving hormonal therapy for uncomplicated cases and surgery when obstruction occurs. This paper is centrally about endometriosis — specifically its presentation as small bowel obstruction requiring surgical management.

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