Endometriosis : A Rare Etiology for Small Bowel Obstruction
AbstractEndometriosis affecting gastrointestinal tract has been reported in 3-37% of menstruating women. It is seen in the recto-sigmoid, caecum, small bowel and the appendix in decreasing frequency. Involvement of the ileum by endometriosis is quite rare ,1-7% cases have been documented..Endometriosis of ileal segment of gastrointestinal tract leading to intestinal obstruction ranges from 7% to 23%.We report a 40 year. old female who presented with complete intestinal obstruction ten days with history of recurrent subacute intestinal obstruction for one year. She was previously treated with empirical Antitubercular drug to which she did not respond. Now histology of the resected specimen showed endometriosis in muscular propria and submucosa , leading to fibrosis and stricture formation.
Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: A study of 44 cases of a disease that may cause diverse challenges in clinical and pathological evaluation. Am J Surg Pathol 2001;25:445-454.
A Bergqvist, Different types of extragenital endometriosis: a review, Gynecol Endocrinol, 7(1993)207-221. EJ Frackiewicz, V Zarotsky. Diagnosis and treatment of Endometriosis, Expert opin. Pharmacother. 4(2003)67-82. H Fox, CH Buckley, Current concepts of endometriosis. Clin Obstet Gynecol. 11(1984)279-287.
Macafee CH, Greer HL. Intestinal Endometriosis. A report of 29 cases and a survey of the literature. J Obstet Gynaecol Br Emp 1960;67:539-555.
Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24:411-440.
Paksoy M, Karabicak I, Ayan F, Aydogan F. Intestinal obstruction due to rectal endometriosis. Mt Sinai J Med 2005;72:405-408.
de Bree E, Schoretsanitis G, Melissas J, Christodoulakis M, Tsiftsis D. Acute intestinal obstruction caused by endometriosis mimicking sigmoid carcinoma. Acta Gastroenterol Belg 1998;61:376-378.
Copyright (c) 2023 Arpita Sutradhar, Supriyo Ghatak, Sumit Gulati, Ramdip Roy, Amarnath Basu, Arnab Basak
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).