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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2010

Open Access 01-12-2010 | Case report

Acute small bowel obstruction secondary to intestinal endometriosis, an elusive condition: a case report

Authors: Alistair AP Slesser, Sufian Sultan, Faris Kubba, David P Sellu

Published in: World Journal of Emergency Surgery | Issue 1/2010

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Abstract

Background

Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common it is rare for the condition to manifest as an acute bowel obstruction secondary to ileocaecal and appendicular endometriosis. This case is important to report as it highlights the diagnostic difficulty this particular condition presents to an emergency surgeon.

Case presentation

We present the case of a 33 year old female of Asian origin who presented with symptoms and signs of an acute small bowel obstruction. A right hemicolectomy for suspected malignancy was performed with an ileocolic anastomosis. Histological examination demonstrated extensive endometriosis of the appendix and ileocaecal junction.

Conclusion

Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. A high index of suspicion is required to arrive at a diagnosis of this elusive condition.
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Metadata
Title
Acute small bowel obstruction secondary to intestinal endometriosis, an elusive condition: a case report
Authors
Alistair AP Slesser
Sufian Sultan
Faris Kubba
David P Sellu
Publication date
01-12-2010
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2010
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-5-27

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