Diagnosis and treatment of uncommon ileal endometriosis: a case report and literature review

Abstract

Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It is a common finding in premenopausal women and commonly affects the gastrointestinal tract, especially the rectosigmoid tract. Small bowel involvement is rare and usually asymptomatic making diagnosis difficult. Here we report an uncommon case of exophytic ileal endometriosis surgically treated. Detailed pre-operative counselling on the risk of ileal surgery should always be considered in all cases with endometriosis requiring surgery. We also present a review of the literature regarding the clinical presentation, diagnosis, and treatment of this challenging condition.

Diagnosis and management of small bowel obstruction in the ileum caused by endometriosis: A case report

“…Because of the nonspecific presentation of ileal endometriosis, most cases in which endometriosis causes SBO are diagnosed as well as treated with laparoscopic surgery. However, 66% of women who went under surgical treatment for SBO caused by endometriosis had a previous diagnosis [ 2 ]. Therefore, detailed patient history can be crucial when making clinical decisions for patients.…”

“…Endometriosis is a condition defined by the presence endometrial tissue outside of the uterus and affects 8–15% of females [ 1 ]. Endometriosis is a chronic, inflammatory, and estrogen-dependent disease that most frequently affects the surrounding organs [ 2 ]. Endometriosis involving the bowel occurs in approximately 3–33% of cases, most commonly affecting the rectosigmoid tract.…”