Endometriosis of the Appendix, Cecum, and Ileum Masquerading as Suspected Crohn's Disease

Cho, Jonathan; Pak, Kevin; Austin, Ryan P; Padilla, Leybelis; Wilkerson, Rashad; Edson, Theodore D.

doi:10.14309/ajg.0000000000001981

Cited by 1 publication

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“…In rare cases, finally, even intestinal obstruction can occur ( 7 , 11 , 12 ). If the ileum is the main area of manifestation, the resulting symptoms can imitate an active Crohn’s disease and therefore complicate the diagnostic procedures ( 13 , 14 ). In addition, deep infiltrating endometriosis is significantly more common in patients with chronic inflammatory bowel diseases (CIBDs) ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…This observation is consistent with descriptions in other case reports, where endometriosis is unknown. Therefore, it can be assumed the disease is significantly underdiagnosed ( 11 – 13 , 17 , 29 , 30 ). It is well known that endometriosis can have adverse effects on pregnancy, causing higher rates of abortions and premature births, decreased birth weight of the child, gestational diabetes, and hypertensive pregnancy disorders ( 31 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

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Case report: A rare cause of intestinal perforation in a third-trimester pregnant woman

Stiegler,

Kapitza,

Weber

et al. 2024

Front. Med.

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BackgroundAn acute abdomen is a medical emergency that requires early diagnosis and treatment. In pregnancy, this process is significantly more challenging, and radiological findings are sometimes unclear due to the enlarged uterus displacing other structures. Moreover, endometriosis-related complications are rare, and the disease is often undiagnosed.Case presentationWe report a case of acute perforation of the cecum and appendix during pregnancy (35 weeks of gestation) caused by a previously unknown, deep infiltrating endometriosis with focal ulceration of the affected bowel wall, which sonographically seemed to be acute appendicitis.ConclusionDespite the relatively low risk, clinicians should be aware of possible endometriosis-associated complications in pregnancy with potentially life-threatening events, even in previously unknown endometriosis. Further studies should evaluate intestinal complications during pregnancy in relation to previous treatment of intestinal endometriosis (conservative vs. surgical).

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