Acute Small Bowel Obstruction Secondary to Ileal Endometriosis: Report of a Case

Jeffrey R Ridha, Sebastiano Cassaro
Surgery today · 2003 · vol. 33(12) , pp. 944–947 · doi:10.1007/s00595-003-2613-4 · PMID:14669090 · W2088301102
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This case report describes ileal endometriosis causing acute small bowel obstruction, a rare condition with a difficult preoperative diagnosis in women of child-bearing age presenting with obstruction symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a single case of acute small bowel obstruction caused by endometriosis involving the terminal ileum, describing how a rare presentation can mimic other causes of intestinal obstruction. The authors note that establishing a preoperative diagnosis is difficult because symptoms are vague and presentations resemble other etiologies, and they emphasize that diagnosis relies on a high index of suspicion. They state that definitive management involved resection of the affected ileal segment with primary anastomosis, and that adjuvant hormonal therapy may prevent recurrence, with the primary limitation being that the evidence is based on a single case. This paper is centrally about endometriosis — it presents an acute small bowel obstruction secondary to ileal endometriosis.

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Abstract We report a case of acute small bowel obstruction occurring secondary to endometriosis of the terminal ileum. Ileal endometriosis is a rare condition that can cause acute small bowel obstruction. As this case and others in the literature highlight, establishing a preoperative diagnosis is very difficult due to the vagueness of symptoms and similarity in presentation to other causes of obstruction, and is based on a high index of suspicion. However, this disorder should be considered in the differential diagnosis of women of child-bearing age who present with symptoms of obstruction. The definitive treatment includes resection of the involved segment with primary anastomosis, and adjuvant hormonal therapy may prevent recurrence. Similar content being viewed by others Author information Authors and Affiliations Rights and permissions About this article Cite this article Ridha, J., Cassaro, S. Acute Small Bowel Obstruction Secondary to Ileal Endometriosis: Report of a Case. Surg Today 33, 944–947 (2003). https://doi.org/10.1007/s00595-003-2613-4 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/s00595-003-2613-4

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Ileum Intestinal Obstruction Adult Diagnosis, Differential Endometriosis Endometriosis Female Humans Ileum Ileum Intestinal Obstruction Intestinal Obstruction

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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