Ileocolic intussusception caused by endometriosis

Because the pain was progressively worsening after admission, an emergency laparotomy was carried out to confirm the preoperative diagnosis. The coincidence of endometriosis and intussusception is even more rare with a few cases reported in the literature.2, 3 Intestinal endometriosis also demonstra...

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Bibliographic Details
Published in:The American surgeon 2011-06, Vol.77 (6), p.e129-130
Main Authors: Yoshino, Miyuki, Adachi, Kensuke
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - etiology
Adult
Endometriosis
Endometriosis - complications
Endometriosis - diagnosis
Family medical history
Female
Humans
Ileal Diseases - diagnostic imaging
Ileal Diseases - etiology
Ileal Diseases - surgery
Intestinal Diseases - complications
Intestinal Diseases - diagnosis
Intussusception - diagnostic imaging
Intussusception - etiology
Intussusception - surgery
Tomography, X-Ray Computed
Ultrasonic imaging
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Summary:Because the pain was progressively worsening after admission, an emergency laparotomy was carried out to confirm the preoperative diagnosis. The coincidence of endometriosis and intussusception is even more rare with a few cases reported in the literature.2, 3 Intestinal endometriosis also demonstrates nonspecific clinical, laboratory, and radiographic features; as in this case, it may resemble the appearance of neoplasmas (e.g., adenoma, carci- noma, or lipoma), inflammatory disease (e.g., Crohn's disease), ischemic bowel disease, or infectious (e.g., tuberculosis) disease.4 In this case, it was strongly sug- gested that endometrioma findings including chronic fibrosis, inflammation, and the submucosal hemorrhage might serve a lead point for intussusception.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481107700616