{"paper_id":"5a4f53b9-94ec-445f-929b-bfd253c4ceaa","body_text":"Resumen\nLa obstrucción intestinal aguda secundaria a endometriosis intestinal es una complicación infrecuente con una prevalencia estimada entre 0,1 y 0,7 % y representa un importante reto diagnóstico por su capacidad para simular cáncer colorrectal. En el presente reporte se describen dos casos de mujeres de 43 y 45 años que presentaron obstrucción intestinal aguda baja y requirieron manejo quirúrgico urgente ante la sospecha de neoplasia maligna. En ambos casos, los estudios de imagen evidenciaron lesiones colorrectales estenosantes y el diagnóstico definitivo se estableció mediante el estudio histopatológico e inmunohistoquímico de las piezas quirúrgicas que confirmó endometriosis intestinal. Posteriormente, las pacientes recibieron tratamiento hormonal y seguimiento multidisciplinario con evolución favorable y ausencia de recurrencia durante seis meses. Estos casos resaltan que la endometriosis intestinal debe considerarse en el diagnóstico diferencial de la obstrucción intestinal aguda baja en mujeres en edad reproductiva y que la histopatología continúa siendo el método definitivo para confirmar el diagnóstico y orientar el manejo.\nCitas\n1. Taylor HS, Kotlyar AM, Flores VA. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. Lancet. 2021;397(10276):839-852.\n2. Xu S, Zhang Y, Ye P, Huang Q, Wang Y, Zhang Y, et al. Global, regional, and national burden of endometriosis among women of childbearing age from 1990 to 2021: a cross-sectional analysis from the 2021 global burden of disease study. Int J Surg. 2025;111(9):5927-5940.\n3. Espitia F. Disfunciones sexuales en las mujeres con endometriosis. Estudio de prevalencia. Rev Chil Obstet Ginecol. 2024;89(3):139-145.\n4. Habib N, Centini G, Lazzeri L, Amoruso N, El Khoury L, Zupi E, et al. 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