A Fortunate Twist

Yeo, Delphina; Ladlad, Jasmine; Tan, Winson Jian Hong

doi:10.1053/j.gastro.2022.08.023

Cited by 1 publication

(2 citation statements)

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“…It has been increasingly seen as an underdiagnosed condition [ 2 ]. Despite the relatively high prevalence of endometriosis, the occurrence of endometriosis or endometriomas in the gastrointestinal tract (GIT) resulting in bowel obstructions is rare [ 3 ]. A large population-based study in Canada [ 1 ] reported that the prevalence of women aged 18–55 with endometriosis who have experienced at least one episode of bowel obstruction is 52 in 10 000 [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Along the GIT, the rectosigmoid is the most involved by endometriosis [ 4 ]. In other reported cases, other stigmata of endometriosis were found on laparoscopy [ 3 , 5 , 6 ], and the majority of cases were managed in an emergency setting with a small bowel obstruction (SBO) not amenable to conservative therapy [ 3 , 5 ]. Some case studies also report a monthly, cyclical pattern of SBO symptoms [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endometrioma causing recurrent small bowel obstruction in a virgin abdomen—a case report and literature review

Chiu

Niranjan

Fitzgerald

2023

Journal of Surgical Case Reports

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There has been a modest number of cases of bowel obstruction secondary to endometriosis reported. Delays in diagnoses can cause significant morbidity to patients. We describe the case of a 45-year-old female with a 2-year history of recurrent small bowel obstructions (SBOs) without a history of abdominal surgery. She underwent multiple computed tomography scans, and a magnetic resonance enterography, which queried possible terminal ileitis secondary to Crohn’s fibro-stenosing disease or a Meckel’s diverticulum. Colonoscopy up to TI was normal. Elective laparoscopy showed a cicatrizing small bowel mass in her distal ileum ~15 cm from the TI, which was resected. There were no other findings. Histopathological testing revealed endometriosis. At 2-month post-resection, she remains symptom-free and was referred to gynaecology. Endometriosis causing bowel obstruction should be considered early in female patients, especially those with virgin abdomens. Timely elective laparoscopy is a safe and effective way of diagnosing and treating small bowel obstruction, avoiding an emergency procedure.

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