EXTRA PELVIC ENDOMETRIOSIS: DOUBLE ILEAL AND ILEO-CAECAL LOCALIZATION REVEALED BY ACUTE SMALL BOWEL OBSTRUCTION, A CLINICAL CASE

In: International Journal of Advanced Research · 2023 · vol. 11(04) , pp. 1121–1129 · doi:10.21474/ijar01/16770 · W4377031264
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AI-generated summary by claude@2026-07, 2026-07-09

This case report describes a young patient whose double ileal and ileo-caecal endometriosis, causing acute small bowel obstruction, was diagnosed via CT scan and surgically resected.

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

This paper is a clinical case report describing extra pelvic endometriosis presenting with acute small bowel obstruction, with lesions localized to both the double ileal and ileo-cecal regions. Using clinical evaluation and localization of the pathology, the report documents how endometriosis can manifest intra-abdominally and be recognized in the setting of bowel obstruction. The main limitation is that, as a single case report, it cannot establish generalizable incidence or mechanisms. This paper is centrally about endometriosis — specifically extra pelvic (intestinal) endometriosis localized to ileal and ileo-cecal sites causing acute small bowel obstruction.

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Abstract

Endometriosis is a frequent pathology in women, the double ileo-caecal localization is extremely rare. Given the non-specific nature of the clinical symptoms, the diagnosis of this pathology was initially disconcerting. We report the case of a young patient, presenting chronic abdominal pain.Even though she didseveral medical consultations, the diagnosis was not possible given the non-specific character of the symptomatology. Our patient was admitted to our department for an acute small bowel obstruction.The abdominal CT scan was in favor of an ileo-caecalthickening. An ileo-caecal resection was performed by laparoscopy, thus solving the problem of surgical emergency andachieving complete excision of a double tumor of the terminal ileum and the caecum. The endometriotic nature was revealed by the anatomopathologicalanalysis of the surgical specimen.
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