Ileocolic intussusception due to a cecal endometriosis: case report and review of literature

• Published in: Diagnostic pathology 2012-06, Vol.7 (1), p.62-62, Article 62
• Main Authors: Rivkine, Emmanuel, Emmanuel, Rivkine, Marciano, Léa, Léa, Marciano, Polliand, Claude, Claude, Polliand, Valenti, Antonio, Antonio, Valenti, Ziol, Marianne, Marianne, Ziol, Poncelet, Christophe, Christophe, Poncelet, Barrat, Christophe, Christophe, Barrat
• Format: Article
• Language: English
• Subjects: Abdominal Pain - etiology; Abdominal Pain - therapy; Analgesia; Biomarkers - analysis; Case Report; Cecal Diseases - complications; Cecal Diseases - diagnosis; Cecal Diseases - metabolism; Cecal Diseases - surgery; Development and progression; Digestive endometriosis; Endometriosis; Endometriosis - complications; Endometriosis - diagnosis; Endometriosis - metabolism; Endometriosis - surgery; Female; Hospitalization; Humans; Ileal Diseases - diagnosis; Ileal Diseases - etiology; Ileal Diseases - metabolism; Ileal Diseases - surgery; Ileocolic intussusception; Immunohistochemistry; Intestines; Intussusception; Intussusception - diagnosis; Intussusception - etiology; Intussusception - metabolism; Intussusception - surgery; Keratin-7 - analysis; Neprilysin - analysis; Tomography, X-Ray Computed; Treatment Outcome; Young Adult
• ISSN: 1746-1596; 1746-1596
• DOI: 10.1186/1746-1596-7-62

Cecal endometriosis and ileocolic intussusception due to a cecal endometriosis is extremely rare. We report a case of a woman who presented an ileocecal intussusception due to a cecal endometriosis. The patient gave two months history of chronic periombilical pain requiring regular hospital admission and analgesia. The symptoms were not related to menses. A laparotomy was performed and revealed an ileocolic intussusception. The abdominal exploration did not find any endometriosis lesion. Ileocaecal resection was performed. Microscopic examination showed a cystic component, lined by a regular cylindric epithelium. Foci of endometrial tissue were observed in the cecal subserosa and muscularis mucosal, with irregular endometrial glands lined by cylindric epithelium without atypia immunostained with CK7, and characteristic endometrial stroma immunostained with CD10. Cecal endometriosis and ileocolic intussusception due to a cecal endometriosis is extremely rare. Diagnose of etiology remains challenging due to the absence of clinical and radiological specific characteristics. The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/2975867306869166.