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Ileal Endometriosis: a Rare Cause of Enterocutaneous Fistula

  • Graham Ungerleider
  • Michael Cheng
  • Caroline Park
  • Kazuhide Matsushima
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Clinical Case

The patient is a 52-year-old woman with a remote history of right-sided nephrectomy and prior cesarean section who presented to the emergency department with 2 months of purulent, cutaneous drainage from her right lower abdomen (Fig.  1). She had been previously seen by her primary care physician for the aforementioned complaint and treated with 2 weeks of antibiotics to no resolution of drainage. On presentation, patient denied any constitutional symptoms of infection, changes to bowel habits, or unintentional weight loss. She was afebrile with no leukocytosis, hemodynamically stable, and exhibited only mild abdominal tenderness. Family history was not significant for pertinent oncologic or inflammatory bowel disease. Her last menstrual period was 2 years ago.

Keywords

Endometriosis Ileum Enterocutaneous fistula 

Notes

Acknowledgements

The authors thank Dr. Catherine Suen for providing pathology images of the case.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Prystowsky JB, Stryker SJ, Ujiki GT, Poticha SM. Gastrointestinal endometriosis. Incidence and indications for resection. Arch Surg. 1988;123:855–8.CrossRefGoogle Scholar
  2. 2.
    Cappell MS, Friedman D, Mikhail N. Endometriosis of the terminal ileum simulating the clinical, roentgenographic, and surgical findings in Crohn's disease. Am J Gastroenterol. 1991;86:1057–62.PubMedGoogle Scholar
  3. 3.
    Yantiss RK, Clement PB, Young RH. Neoplastic and pre-neoplastic changes in gastrointestinal endometriosis: a study of 17 cases. Am J Surg Pathol. 2000;24:513–24.CrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  • Graham Ungerleider
    • 1
  • Michael Cheng
    • 1
  • Caroline Park
    • 1
  • Kazuhide Matsushima
    • 1
    • 2
  1. 1.Division of Acute Care SurgeryUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Division of Trauma & Critical CareUniversity of Southern California, LAC+USC Medical CenterLos AngelesUSA

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