Ileocecal endometriosis presenting with abdominal pain and gastrointestinal bleeding

C A Aronchick, Craig A. Aronchick, F P Brooks, Frank P. Brooks, W L Dyson, William Dyson, R Baron, R L Baron, J J Thompson, John J. Thompson
Digestive diseases and sciences · 1983 · vol. 28(6) , pp. 566–572 · doi:10.1007/bf01308161 · PMID:6602698 · W2011690768
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This case describes a 26-year-old woman with ileocecal endometriosis presenting with intussusception and gastrointestinal bleeding, revealed during laparotomy to be caused by endometrial implants and bowel ulceration.

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This paper reports a case of a 26-year-old woman with enteric endometriosis who presented with abdominal pain and gastrointestinal bleeding, along with cecocolic intussusception and a cecal mass seen on barium enema. Laparotomy found cecocolic intussusception, ileocecal endometrial implants, and cecal mucosal ulceration thought to be due to ischemia from the intussuscepted bowel, with histopathology showing serosal/subserosal implants without mucosal invasion. The authors also review prior literature on endometrial bowel disease. This paper is centrally about endometriosis—specifically ileocecal/ileocecal region endometriosis presenting with gastrointestinal bleeding and intussusception.

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Summary A 26-year-old woman with enteric endometriosis presenting with cecocolic intussusception, a cecal mass on barium enema, and gastrointestinal hemorrhage is described. Laparotomy revealed cecocolic intussusception, ileocecal endometrial implants, and cecal mucosal ulceration presumed secondary to ischemia of the intussuscepted bowel. Histopathology showed serosal and subserosal endometrial implants without mucosal invasion. A review of the literature of endometrial bowel disease is presented. Similar content being viewed by others References Haubrich WS: Enteric endometriosis. In Gastroenterology, Vol. II. HL Bockus (ed). Philadelphia, WB Saunders, 1976, pp 1107–1112 Earnest DL: Other diseases of the colon and rectum-endometriosis.In Gastrointestinal Disease. Edited by M Sleisenger, J Fordtran (eds). Philadelphia, WB Saunders, 1978, pp 1852–1856 Williams TJ, Pratt JH: Endometriosis in 1000 consecutive celiotomies. Am J Obstet Gynecol 129:245–250, 1977 Cattell RB: Endometriosis of the colon and rectum with intestinal obstruction N Eng J Med 217:9–16, 1937 Martinbeau PW, Pratt JH, Gaffey TA. Small bowel obstruction secondary to endometriosis. Mayo Clin Proc 50:239–243, 1975 Henriksen E: Endometriosis. Am J Surg 90:331–337, 1955 Heneghan MA, Teixidor HS: Pleuroperitoneal endometriosis. Am J Roentgenol 133:727–730, 1979 Bergen S, Snider WR, Lim YC: Disseminated adenomyosis of the abdominal and pelvic cavities. Am Surg 47:232–235, 1981 Cunningham K, Smith KV: A case of intussusception caused by endometriosis of the ileum. Br J Surg 36:50–51, 1948 McKittrick LS: In discussion of Cattell RB, Endometriosis of the colon and rectum with intestinal obstruction. N Engl J Med 217:17, 1937 Swann M: An endometrioma of the caecum causing an intussusception. Br J Surg 50:199–202, 1962–1963 Wietersen FK, Balow RM: Colonic endometriosis: Roentgenologic aspects. Radiology 69:839–847, 1957 Boles RS, Hodes PJ: Endometriosis of the small and large intestine. Gastroenterology 34:367–380, 1958 Gray LA: Endometriosis of the bowel: Role of bowel resection superficial excision and oophorectomy in treatment. Ann Surg 177:580–587, 1973 Pillay SP, Hardie IR: Intestinal complications of endometriosis. Br J Surg 67:677–679, 1980 Chervenak FA, Greenlee RM, Lewenstein L, Tovell HMM: Massive ascites associated with endometriosis. Obstet Gynecol 57:379–381, 1981 Farinon AM, Vadora E: Endometriosis of the colon and rectum: An indication for preoperative coloscopy. Endoscopy 12:136–139, 1980 Uohara JK, Kobara TY: Endometriosis of the appendix. Am J Obstet Gynecol 121:423–426, 1975 Langman J, Rowland R, Vernon-Roberts B: Endometriosis of the appendix. Br J Surg 68:121–124, 1981 Gini PC, Chukudebelu WO, Onuigbo WIB: Perforation of the appendix during pregnancy: A rare complication of endometriosis. Br J Obstet Gynecol 88:456–458, 1981 Nikapota VLB: Endometriosis of the caecum causing intussusception. Br J Radiol 53:599–602, 1980 Honore LH: Endometriosis of Meckel's diverticulum associated with intestinal obstruction. Am J Proctol 31:11–12, 1980 Saleh N, Daw E: Endometriosis in non-gynaecological sites. Practicioner 224:1189–1195, 1980 Sulewski JM, Curcio FD, Bronitsky C, Stenger VG: The treatment of endometriosis at laparoscopy for infertility. Am J Obstet Gynecol 138:128–132, 1980 Cohen MR: Laparoscopy and the management of endometriosis. J Reprod Med 23:81–84, 1979 Author information Authors and Affiliations Rights and permissions About this article Cite this article Aronchick, C.A., Brooks, F.P., Dyson, W.L. et al. Ileocecal endometriosis presenting with abdominal pain and gastrointestinal bleeding. Digest Dis Sci 28, 566–572 (1983). https://doi.org/10.1007/BF01308161 Received: Revised: Accepted: Issue date: DOI: https://doi.org/10.1007/BF01308161

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdomen Cecal Neoplasms Endometriosis Gastrointestinal Hemorrhage Ileal Neoplasms Pain Adult Cecal Diseases Cecal Diseases Cecal Neoplasms Cecal Neoplasms Endometriosis Endometriosis Female Gastrointestinal Hemorrhage Humans Ileal Neoplasms Ileal Neoplasms Intussusception Intussusception

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