Ileal Endometriosis: a Rare Cause of Enterocutaneous Fistula
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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.
KeywordsEndometriosis Ileum Enterocutaneous fistula
The authors thank Dr. Catherine Suen for providing pathology images of the case.
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Conflict of Interest
The authors declare that they have no conflicts of interest.
© The Society for Surgery of the Alimentary Tract 2018