A case report of intestinal intussusception secondary to endometriosis of the last ileal loop

Faiez Boughanmi, Mohamed Ali Chaouch, Med Dheker Touati, Midani Touati, Mohamed Zayati, Hiba Ben Hassine, Faouzi Noomen
International journal of surgery case reports · 2025 · vol. 129(C) , pp. 111221 · doi:10.1016/j.ijscr.2025.111221 · PMID:40157065 · W4408901235
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Abstract

INTRODUCTION AND IMPORTANCE: Acute intestinal intussusception secondary to intestinal endometriosis is a rare entity, but it can be life-threatening. Improving diagnostic and therapeutic investigations through multidisciplinary collaboration improves its management and prognosis. CASE PRESENTATION: Reporting the clinical case of a 37-year-old patient admitted for treatment of intestinal intussusception secondary to intestinal endometriosis. She underwent a resection of the invaginated segment without disinvagination and a manual end-to-end ileo-ileal anastomosis. Pathological examination concluded that there was intestinal endometriosis with simple surgical suites. CLINICAL DISCUSSION: Several studies have addressed the subject of intestinal intussusception secondary to intestinal endometriosis. However, the studies are mainly case reports. It is certainly rare, but potentially serious, and all studies converge on the importance of diagnosis and rapid multidisciplinary care. CONCLUSIONS: Due to its rarity and the non-specificity of its symptoms, digestive endometriosis is poorly understood and is often diagnosed late. Intussusception secondary to endometriosis is rare and generally requires surgery.

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endometriosis

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