A rare case of ileus caused by ileum endometriosis

Abstract

HighlightsWe experience a case of relatively rare small bowel obstruction caused by terminal ileum endometriosis.Multiple lesions were also located in Douglas pouch, causing partial rectal stenosis.Correct surgical and medical approach is required.

The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women

“…Endopelvic endometriosis is more common and it can develop in different structures such as ovaries, uterosacral ligaments, pelvic peritoneum, recto-uterine pouch, cervix, vagina, and round ligament. Although rarely, endometriosis may also occur in extrapelvic structures, including abdominal wall, urinary and gastrointestinal tract, skin, brain, and lungs [3,4].…”

A case report: Rectal endometriosis mimicking rectal cancer

“…The incidence rate of gastrointestinal endometriosis is 3%–37% of all cases, and rectum and sigmoid colon are the most common sites of it, accounting for 50%–70%. Patients with gastrointestinal endometriosis may present with symptoms such as colic pain, nausea, vomiting, constipation, diarrhea, rectal bleeding, tenesmus, pain during defecation and so on [ 2 , [4] , [5] , [6] , 10 , [12] , [13] , [14] ]. The incidence rate of abdominal scar endometriosis is 0.03%–12%.…”

“…CA125, CA199, Carbonic anhydrase (CA) Antibody, endometrial Antibody(EMAb) can be used to help diagnose and monitor the development of the endometriosis. CA199 is less sensitive than CA125 [ 5 , 6 , 10 ]. Imaging examinations of ultrasound, CT and magnetic resonance imaging (MRI) can provide information about the location, size and extent of the lesion [ 5 , 10 , 12 ].…”

“…The most aberrant places are the ovaries, uterosacral ligaments, large ligaments and pelvic peritoneum. Gastrointestinal tract, lungs, pleura, urinary system, skin, abdominal scar and brain are rare [ 3 , [5] , [6] , [7] ]. Here, we report a case of rectal endometriosis localized at the rectum that was almost misdiagnosed and treated as rectal cancer.…”

A case of ileus caused by ileal endometriosis with lymph node involvement

“…Endometriosis is characterized by the presence of functional endometrial tissue, consisting of glands and stroma, outside the uterus [1]. Endometriosis is found in 6–10% of women in the reproductive age group, and around 50% of affected women have associated symptoms of pelvic pain, dysmenorrhea, dyspareunia, and infertility [2].…”