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Ileocecal endometriosis presenting with abdominal pain and gastrointestinal bleeding

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Summary

A 26-year-old woman with enteric endometriosis presenting with cecocolic intussusception, a cecal mass on barium enema, and gastrointestinal hemorrhage is described. Laparotomy revealed cecocolic intussusception, ileocecal endometrial implants, and cecal mucosal ulceration presumed secondary to ischemia of the intussuscepted bowel. Histopathology showed serosal and subserosal endometrial implants without mucosal invasion. A review of the literature of endometrial bowel disease is presented.

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References

  1. Haubrich WS: Enteric endometriosis. In Gastroenterology, Vol. II. HL Bockus (ed). Philadelphia, WB Saunders, 1976, pp 1107–1112

    Google Scholar 

  2. Earnest DL: Other diseases of the colon and rectum-endometriosis.In Gastrointestinal Disease. Edited by M Sleisenger, J Fordtran (eds). Philadelphia, WB Saunders, 1978, pp 1852–1856

    Google Scholar 

  3. Williams TJ, Pratt JH: Endometriosis in 1000 consecutive celiotomies. Am J Obstet Gynecol 129:245–250, 1977

    Google Scholar 

  4. Cattell RB: Endometriosis of the colon and rectum with intestinal obstruction N Eng J Med 217:9–16, 1937

    Google Scholar 

  5. Martinbeau PW, Pratt JH, Gaffey TA. Small bowel obstruction secondary to endometriosis. Mayo Clin Proc 50:239–243, 1975

    Google Scholar 

  6. Henriksen E: Endometriosis. Am J Surg 90:331–337, 1955

    Google Scholar 

  7. Heneghan MA, Teixidor HS: Pleuroperitoneal endometriosis. Am J Roentgenol 133:727–730, 1979

    Google Scholar 

  8. Bergen S, Snider WR, Lim YC: Disseminated adenomyosis of the abdominal and pelvic cavities. Am Surg 47:232–235, 1981

    Google Scholar 

  9. Cunningham K, Smith KV: A case of intussusception caused by endometriosis of the ileum. Br J Surg 36:50–51, 1948

    Google Scholar 

  10. McKittrick LS: In discussion of Cattell RB, Endometriosis of the colon and rectum with intestinal obstruction. N Engl J Med 217:17, 1937

    Google Scholar 

  11. Swann M: An endometrioma of the caecum causing an intussusception. Br J Surg 50:199–202, 1962–1963

    Google Scholar 

  12. Wietersen FK, Balow RM: Colonic endometriosis: Roentgenologic aspects. Radiology 69:839–847, 1957

    Google Scholar 

  13. Boles RS, Hodes PJ: Endometriosis of the small and large intestine. Gastroenterology 34:367–380, 1958

    Google Scholar 

  14. Gray LA: Endometriosis of the bowel: Role of bowel resection superficial excision and oophorectomy in treatment. Ann Surg 177:580–587, 1973

    Google Scholar 

  15. Pillay SP, Hardie IR: Intestinal complications of endometriosis. Br J Surg 67:677–679, 1980

    Google Scholar 

  16. Chervenak FA, Greenlee RM, Lewenstein L, Tovell HMM: Massive ascites associated with endometriosis. Obstet Gynecol 57:379–381, 1981

    Google Scholar 

  17. Farinon AM, Vadora E: Endometriosis of the colon and rectum: An indication for preoperative coloscopy. Endoscopy 12:136–139, 1980

    Google Scholar 

  18. Uohara JK, Kobara TY: Endometriosis of the appendix. Am J Obstet Gynecol 121:423–426, 1975

    Google Scholar 

  19. Langman J, Rowland R, Vernon-Roberts B: Endometriosis of the appendix. Br J Surg 68:121–124, 1981

    Google Scholar 

  20. Gini PC, Chukudebelu WO, Onuigbo WIB: Perforation of the appendix during pregnancy: A rare complication of endometriosis. Br J Obstet Gynecol 88:456–458, 1981

    Google Scholar 

  21. Nikapota VLB: Endometriosis of the caecum causing intussusception. Br J Radiol 53:599–602, 1980

    Google Scholar 

  22. Honore LH: Endometriosis of Meckel's diverticulum associated with intestinal obstruction. Am J Proctol 31:11–12, 1980

    Google Scholar 

  23. Saleh N, Daw E: Endometriosis in non-gynaecological sites. Practicioner 224:1189–1195, 1980

    Google Scholar 

  24. Sulewski JM, Curcio FD, Bronitsky C, Stenger VG: The treatment of endometriosis at laparoscopy for infertility. Am J Obstet Gynecol 138:128–132, 1980

    Google Scholar 

  25. Cohen MR: Laparoscopy and the management of endometriosis. J Reprod Med 23:81–84, 1979

    Google Scholar 

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Authors and Affiliations

  1. Departments of Medicine (Gastrointestinal Section) Surgery, Radiology and Pathology, Hospital of the University of Pennsylvania, Room 574 Maloney Building 3400 Spruce Street, 19104, Philadelphia, Pennsylvania

    Craig A. Aronchick MD,  Frank P. Brooks MD, William L. Dyson MD, Richard Baron MD & John J. Thompson MD

Authors
  1. Craig A. Aronchick MD
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  2. Frank P. Brooks MD
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  3. William L. Dyson MD
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  4. Richard Baron MD
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  5. John J. Thompson MD
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Aronchick, C.A., Brooks, F.P., Dyson, W.L. et al. Ileocecal endometriosis presenting with abdominal pain and gastrointestinal bleeding. Digest Dis Sci 28, 566–572 (1983). https://doi.org/10.1007/BF01308161

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  • DOI: https://doi.org/10.1007/BF01308161

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