Ileocolic intussusception due to endometriosis
Ioannis Koutsourelakis1, Haris Markakis, Spiros Koulas
1Department of Surgery, Corfu General Hospital, Corfu, Greece. ykoutsourelakis@yahoo.gr
Summary
Adult intussusception causing bowel obstruction is rare and difficult to diagnose preoperatively. This case highlights ileocolic intussusception due to endometriosis, requiring surgical intervention.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Gynecologic Oncology
Background:
- Adult intussusception is an uncommon cause of bowel obstruction, often presenting with nonspecific symptoms.
- Preoperative diagnosis of intussusception in adults is challenging due to varied clinical presentations.
Observation:
- A case of acute small-bowel obstruction in an adult was reported.
- Emergency explorative laparoscopy revealed a mass in the right colon near the ileocecal valve.
Findings:
- The mass was surgically resected via a right hemicolectomy.
- Pathologic examination confirmed the mass to be endometriosis of the terminal ileum.
Implications:
- This case underscores the importance of considering endometriosis as a potential cause of intussusception in adult females.
- Highlights the diagnostic and surgical management of rare adult intussusception cases.
- Emphasizes the multidisciplinary approach in managing complex gastrointestinal conditions.
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