Endometriosis: a rare cause of small bowel obstruction
Although endometriosis is a common condition in young women, symptomatic involvement of the small bowel is rare. The authors report the case of a 44-year-old lady initially thought to have irritable bowel syndrome who presented 1 month later with acute small bowel obstruction. A CT scan showed small...
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| Veröffentlicht in: | BMJ case reports 2012-08, Vol.2012 (aug09 1), p.bcr0320125988-bcr0320125988 |
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| container_issue | aug09 1 |
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| container_title | BMJ case reports |
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| creator | Khwaja, Samir A Zakaria, Rasheed Carneiro, Herman Anthony Khwaja, Haris A |
| description | Although endometriosis is a common condition in young women, symptomatic involvement of the small bowel is rare. The authors report the case of a 44-year-old lady initially thought to have irritable bowel syndrome who presented 1 month later with acute small bowel obstruction. A CT scan showed small bowel dilatation with a transition point in the ileum, but no distinct lesion. The patient had an exploratory laparotomy where an obstructing lesion in the terminal ileum and several enlarged mesenteric lymph nodes were identified. Consequently, a right hemicolectomy was performed. Pathology specimens showed multiple endometriotic foci in the bowel with stricturing of terminal ileum and appendiceal intussusception. This likely resulted in subocclusive episodes and intestinal obstruction. This case highlights the difficulty in establishing a preoperative diagnosis of endometriosis. Small bowel endometriosis should, therefore, be considered in the differential diagnosis of women of childbearing age who present with symptoms of obstruction. |
| doi_str_mv | 10.1136/bcr.03.2012.5988 |
| format | Article |
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The authors report the case of a 44-year-old lady initially thought to have irritable bowel syndrome who presented 1 month later with acute small bowel obstruction. A CT scan showed small bowel dilatation with a transition point in the ileum, but no distinct lesion. The patient had an exploratory laparotomy where an obstructing lesion in the terminal ileum and several enlarged mesenteric lymph nodes were identified. Consequently, a right hemicolectomy was performed. Pathology specimens showed multiple endometriotic foci in the bowel with stricturing of terminal ileum and appendiceal intussusception. This likely resulted in subocclusive episodes and intestinal obstruction. This case highlights the difficulty in establishing a preoperative diagnosis of endometriosis. Small bowel endometriosis should, therefore, be considered in the differential diagnosis of women of childbearing age who present with symptoms of obstruction.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr.03.2012.5988</identifier><identifier>PMID: 22891009</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Adult ; Age ; Appendix ; Biopsy ; Colectomy ; Colonic Diseases - complications ; Colonic Diseases - pathology ; Colonic Diseases - surgery ; Constriction, Pathologic - complications ; Endometriosis ; Endometriosis - complications ; Endometriosis - pathology ; Endometriosis - surgery ; Europe (West) ; Family medical history ; Female ; Histopathology ; Humans ; Ileal Diseases - diagnostic imaging ; Ileal Diseases - etiology ; Ileal Diseases - surgery ; Infertility ; Inflammatory bowel disease ; Intestinal Obstruction - diagnostic imaging ; Intestinal Obstruction - etiology ; Intestinal Obstruction - surgery ; Intussusception - complications ; Irritable bowel syndrome ; Lymphatic system ; Menstruation ; Pain ; Patients ; Radiography ; Reminder of Important Clinical Lesson ; Ultrasonic imaging ; White ; Womens health</subject><ispartof>BMJ case reports, 2012-08, Vol.2012 (aug09 1), p.bcr0320125988-bcr0320125988</ispartof><rights>2012 BMJ Publishing Group Ltd</rights><rights>Copyright: 2012 2012 BMJ Publishing Group Ltd</rights><rights>2012 BMJ Publishing Group Ltd 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4458-f490239949c6a26326233acbdf201288d1a90f7a009bb09e9be58e8c9f0142033</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433519/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433519/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22891009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khwaja, Samir A</creatorcontrib><creatorcontrib>Zakaria, Rasheed</creatorcontrib><creatorcontrib>Carneiro, Herman Anthony</creatorcontrib><creatorcontrib>Khwaja, Haris A</creatorcontrib><title>Endometriosis: a rare cause of small bowel obstruction</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Although endometriosis is a common condition in young women, symptomatic involvement of the small bowel is rare. The authors report the case of a 44-year-old lady initially thought to have irritable bowel syndrome who presented 1 month later with acute small bowel obstruction. A CT scan showed small bowel dilatation with a transition point in the ileum, but no distinct lesion. The patient had an exploratory laparotomy where an obstructing lesion in the terminal ileum and several enlarged mesenteric lymph nodes were identified. Consequently, a right hemicolectomy was performed. Pathology specimens showed multiple endometriotic foci in the bowel with stricturing of terminal ileum and appendiceal intussusception. This likely resulted in subocclusive episodes and intestinal obstruction. This case highlights the difficulty in establishing a preoperative diagnosis of endometriosis. Small bowel endometriosis should, therefore, be considered in the differential diagnosis of women of childbearing age who present with symptoms of obstruction.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Age</subject><subject>Appendix</subject><subject>Biopsy</subject><subject>Colectomy</subject><subject>Colonic Diseases - complications</subject><subject>Colonic Diseases - pathology</subject><subject>Colonic Diseases - surgery</subject><subject>Constriction, Pathologic - complications</subject><subject>Endometriosis</subject><subject>Endometriosis - complications</subject><subject>Endometriosis - pathology</subject><subject>Endometriosis - surgery</subject><subject>Europe (West)</subject><subject>Family medical history</subject><subject>Female</subject><subject>Histopathology</subject><subject>Humans</subject><subject>Ileal Diseases - diagnostic imaging</subject><subject>Ileal Diseases - etiology</subject><subject>Ileal Diseases - surgery</subject><subject>Infertility</subject><subject>Inflammatory bowel disease</subject><subject>Intestinal Obstruction - diagnostic imaging</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - surgery</subject><subject>Intussusception - complications</subject><subject>Irritable bowel syndrome</subject><subject>Lymphatic system</subject><subject>Menstruation</subject><subject>Pain</subject><subject>Patients</subject><subject>Radiography</subject><subject>Reminder of Important Clinical Lesson</subject><subject>Ultrasonic imaging</subject><subject>White</subject><subject>Womens health</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1LwzAYxoMoTubunqTgRZDOfLaJB0HG_ICBFwVvIUlT7WibmbSK_70pm2N6MZcE8nuf93l4ADhBcIoQyS618VNIphgiPGWC8z1whHKWp7mAL_s77xGYhLCE8RBEOSWHYIQxFwhCcQSyeVu4xna-cqEKV4lKvPI2MaoPNnFlEhpV14l2n7ZOnA6d701XufYYHJSqDnayucfg-Xb-NLtPF493D7ObRaopZTwtqYCYCEGFyRTOCM4wIcroohxcc14gJWCZq2hFayis0JZxy40oIaIYEjIG12vdVa8bWxjbdl7VcuWrRvkv6VQlf_-01Zt8dR-SUEIYElHgfCPg3XtvQyebKhhb16q1rg8SxSWMMEp5RM_-oEvX-zbGkyjnBOcsgyhScE0Z70LwttyaQVAOvcjYi4REDgnl0EscOd0NsR34aSECF2tAN8v_5b4BMVGU_A</recordid><startdate>20120813</startdate><enddate>20120813</enddate><creator>Khwaja, Samir A</creator><creator>Zakaria, Rasheed</creator><creator>Carneiro, Herman Anthony</creator><creator>Khwaja, Haris A</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120813</creationdate><title>Endometriosis: a rare cause of small bowel obstruction</title><author>Khwaja, Samir A ; 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The authors report the case of a 44-year-old lady initially thought to have irritable bowel syndrome who presented 1 month later with acute small bowel obstruction. A CT scan showed small bowel dilatation with a transition point in the ileum, but no distinct lesion. The patient had an exploratory laparotomy where an obstructing lesion in the terminal ileum and several enlarged mesenteric lymph nodes were identified. Consequently, a right hemicolectomy was performed. Pathology specimens showed multiple endometriotic foci in the bowel with stricturing of terminal ileum and appendiceal intussusception. This likely resulted in subocclusive episodes and intestinal obstruction. This case highlights the difficulty in establishing a preoperative diagnosis of endometriosis. Small bowel endometriosis should, therefore, be considered in the differential diagnosis of women of childbearing age who present with symptoms of obstruction.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>22891009</pmid><doi>10.1136/bcr.03.2012.5988</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Abdomen Adult Age Appendix Biopsy Colectomy Colonic Diseases - complications Colonic Diseases - pathology Colonic Diseases - surgery Constriction, Pathologic - complications Endometriosis Endometriosis - complications Endometriosis - pathology Endometriosis - surgery Europe (West) Family medical history Female Histopathology Humans Ileal Diseases - diagnostic imaging Ileal Diseases - etiology Ileal Diseases - surgery Infertility Inflammatory bowel disease Intestinal Obstruction - diagnostic imaging Intestinal Obstruction - etiology Intestinal Obstruction - surgery Intussusception - complications Irritable bowel syndrome Lymphatic system Menstruation Pain Patients Radiography Reminder of Important Clinical Lesson Ultrasonic imaging White Womens health |
| title | Endometriosis: a rare cause of small bowel obstruction |
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