Association Between Bowel Obstruction or Intussusception and Endometriosis

Aldhaheri, Sarah; Suarthana, Eva; Capmas, P.; Badeghiesh, Ahmad; Gil, Yaron; Tulandi, Togas

doi:10.1016/j.jogc.2020.12.008

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…Bowel obstruction is a rare event in endometriosis, complicating about 5‰ of endometriosis [ 46 , 47 ]. The pathophysiology of obstruction in endometriosis is multi-faceted: adhesions related to endometriosis itself or to abdominal surgery for endometriosis or, more rarely, intestinal intussusception [ 7 , 48 , 49 ].…”

Section: Digestive Complicationsmentioning

confidence: 99%

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Acute abdominal pain in women of reproductive age: keys to suggest a complication of endometriosis

et al. 2023

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Although endometriosis is a common gynecological condition in women of reproductive age, a complication of endometriosis is rarely considered as the differential diagnosis of acute abdominal pain in that context. However, acute events in women with endometriosis can represent life-threatening conditions, which require emergent treatment and often surgical management. Mass effect of endometriotic implants can give rise to obstructive complications, specifically occurring in the bowel or in the urinary tract, while inflammatory mediators released by ectopic endometrial tissue can lead to inflammation of the surrounding tissues or to superinfection of the endometriotic implants. Magnetic resonance imaging is the best imaging modality to reach the diagnosis of endometriosis, but an accurate diagnosis is possible on computed tomography, especially in the presence of stellar, mildly enhanced, infiltrative lesions in suggestive areas. The aim of this pictorial review is to provide an image-based overview of key findings for the diagnosis of acute abdominal complications of endometriosis. Graphical Abstract

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Section: Digestive Complicationsmentioning

confidence: 99%

“…Intussusception is a rare cause of bowel obstruction and an exceptional complication of endometriosis with a few case reports of appendiceal and ileal intussusception [ 46 , 49 ]. To our knowledge, the physiopathology of intussusception in endometriosis is not well known.…”

Section: Digestive Complicationsmentioning

confidence: 99%

Acute abdominal pain in women of reproductive age: keys to suggest a complication of endometriosis

et al. 2023

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“…Endometriosis is a condition where endometrial glands and tissue implant grow outside the uterus with an estimated prevalence of 6–25% [ 1 ]. It has been increasingly seen as an underdiagnosed condition [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…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%

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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“…For bowel involvement, the rectum (13%–53%), sigmoid colon (18%–47%), ileum or other small bowels (2%–5%), and appendix (3%–18%). [ 17 18 19 ] Indications for surgery include severe pelvic pain, unresponsiveness to medical treatment, obstructive uropathy, symptomatic bowel stenosis, adnexal mass of a doubtful nature, and reproductive desire.…”

mentioning

confidence: 99%