Ileocecal intussusception extending to left colon due to endometriosis

López, M. Rodríguez; Bailon-Cuadrado, M.; Tejero-Pintor, Francisco J.; Choolani, E.; Fernández-Pérez, G. C.; María, Tapia HerreroAna

doi:10.1308/rcsann.2017.0225

Cited by 13 publications

(9 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Its incidence is about 15% in fertile females. 3 The most accepted cause of endometriosis is retrograde menstrual flow through the Fallopian tubes and spillage onto the ovary and the peritoneum.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Caecal endometriosis causing colo-colic intussusception: a rare cause of bowel obstruction

et al. 2022

View full text Add to dashboard Cite

Intussusception refers to telescoping of a segment of bowel into adjacent bowel. Only 5% occurs in adults. Causes include neoplasm and inflammatory causes. Caecal endometriosis causing colo colic intussusception is extremely rare condition. A 45-year-old menstruating female presented with complaints of diffuse abdominal pain with vomiting for 10 days. No history of menstrual abnormalities. P/A-mass of 8×5 cm was palpable in right lumbar and umbilical region with mild tenderness. Cect abdomen-colo colic intussusception involving ascending colon and right 2/3rd of transverse colon with no obvious lead point. Patient was taken up for emergency laparotomy and it revealed 1) Intussusception of caecum into ascending colon extending upto hepatic flexure, 2) Multiple black colored nodules over lateral pelvic wall, small bowel, omentum, mesentery, ascending sigmoid colon, 3) Anterior surface of rectum was found to be adherent to posterior surface of uterus and pouch of Douglas inaccessible, 4) Multiple nodes were identified within mesentery. Laparotomy proceeded and gentle manual reduction of intussusceptum was done and growth palpable within caecum, suspecting the growth to be malignant right hemicolectomy with ileocolic end to side anastomosis done. Post operative period uneventful, HPE-endometriosis caecum. Intussusception in adult is rare entity and endometrial mass in caecum acting as lead point has been infrequently reported. Clinical and radiological investigations are of little help in diagnosing endometriosis. Hence, high clinical suspicion is required in patients with previous history of endometriosis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…1 Endometriotic tissue involving the bowel occur in the sigmoid colon and the rectum frequently (90%). 3 It presents with cyclical abdominal pain, nausea, vomiting, early satiety, bloating, constipation, obstipation, back pain and abdominal distension. 17 The bowel endometriosis is difficult to be identified clinically.…”

Section: Discussionmentioning

confidence: 99%

Caecal endometriosis causing colo-colic intussusception: a rare cause of bowel obstruction

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Endometriosis affecting the appendix and/or ileum shows various symptoms, such as bowel obstruction, perforation, acute appendicitis, and intussusception [ 6 – 10 ].…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

et al. 2021

View full text Add to dashboard Cite

Patient: Female, 40-year-old Final Diagnosis: Intestinal endometriosis Symptoms: Abdominal pain Medication:— Clinical Procedure: — Specialty: Surgery Objective: Challenging differential diagnosis Background: Endometriosis is an ectopic proliferation of endometrial glands and interstitium outside the uterus. It usually affects the organs surrounding the uterus, and less often, involvement of extrapelvic organs, such as the intestines and urinary tract, is observed. Case Report: A 40-year-old woman had been experiencing intermittent right lower abdominal pain for years, which worsened months earlier. The patient was admitted for the worst pain ever accompanying nausea and vomiting. Contrast-enhanced computed tomography revealed a heterogeneously enhanced lesion that measured approximately 50×25×35 mm, and a caliber change of the ileum at the same site with dilated small bowel proximal to the caliber change were observed. Colonoscopy revealed that the ileocecal valve and the lumen of the terminal ileum protruded inward, suggesting an extramural compression by the lesion. Since the patient showed no improvement following conservative therapy, bowel resection through a single-incision laparoscopic surgery was successfully performed. Histopathological exploration showed patchy infiltration of endometrium-like tissues in the muscularis propria and subserosa layers of the ileum and appendix. Moreover, nearby lymph nodes resected for their firmness showed similar findings. Conclusions: We report a case of recurrent intestinal obstruction due to ileal and appendiceal endometriosis with lymph node involvement, which was successfully treated by single-incision laparoscopic surgery. Careful follow-up is important because the prognosis for the intestinal endometriosis with lymph node involvement is still unclear.

show abstract

“…Women with isolated ileal endometriosis are usually asymptomatic or have non-specific symptoms: abdominal pain, bloating and cramps, altered bowel habits (constipation and/or diarrhea), dyspareunia and haematochezia ( Rodriguez-Lopez et al, 2018 ). There is no high-precision imaging test for ileal endometriosis ( Tong et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

“…There is no high-precision imaging test for ileal endometriosis ( Tong et al, 2013 ). Diagnosis of ileal endometriosis is usually made incidentally during surgery for other endometriosis sites or following direct complications of ileal involvement: bowel obstruction, ileocecal intussusception or perforation ( Rodriguez-Lopez et al, 2018 ). At laparoscopy, typical ileal lesions are nodular in shape with transmural and endophytic growth and are often located on the ileocecal junction ( Ruffo et al, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

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

Mabrouk¹,

Raimondo²,

Cofano³

et al. 2021

Facts Views Vis ObGyn

View full text Add to dashboard Cite

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.

show abstract

Ileocecal intussusception extending to left colon due to endometriosis

Cited by 13 publications

References 7 publications

Caecal endometriosis causing colo-colic intussusception: a rare cause of bowel obstruction

Caecal endometriosis causing colo-colic intussusception: a rare cause of bowel obstruction

Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

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

Contact Info

Product

Resources

About