Ileocecal intussusception as the initial presentation of endometriosis: case report

Ileocecal intussusception as the initial presentation of endometriosis: case report

Abstract Cecal endometriosis is a rare entity that can present as nonspecific acute abdominal pain and can be complicated by ileocolic intussusception, which is extremely infrequent. We present the case of a 33-year-old woman with no relevant pathological antecedents who consulted for abdominal pain...

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Veröffentlicht in:Journal of surgical case reports 2021-12, Vol.2021 (12), p.rjab556
Hauptverfasser: Pinsak, Agustin E, Pantoja Pachajoa, Diana A, Palacios Huatuco, René M, Viscido, Germán R, Mandojana, Facundo I, Doniquian, Alejandro M
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container_issue 12
container_start_page rjab556
container_title Journal of surgical case reports
container_volume 2021
creator Pinsak, Agustin E
Pantoja Pachajoa, Diana A
Palacios Huatuco, René M
Viscido, Germán R
Mandojana, Facundo I
Doniquian, Alejandro M
description Abstract Cecal endometriosis is a rare entity that can present as nonspecific acute abdominal pain and can be complicated by ileocolic intussusception, which is extremely infrequent. We present the case of a 33-year-old woman with no relevant pathological antecedents who consulted for abdominal pain for 5 days, associated with rebound tenderness and abdominal guarding on the right lower quadrant and a palpable mass during the physical examination. Computed tomography was realized and emergency surgery performed due to suspected ileocolic intussusception. The laparoscopic examination identified an ileocolic intussusception associated with a tumor. Conversion to open surgery was needed, and an oncological right hemicolectomy with ileotransverse anastomosis was carried out. Histopathological study reported ileocolic intussusception and a focus of cecal endometriosis. Currently, the patient does not have recurrences. Ileocolic intussusception secondary to deep endometriosis requires great diagnostic presumption in women of childbearing age with acute abdomen diagnosis.
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title Ileocecal intussusception as the initial presentation of endometriosis: case report
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