[Intestinal endometriosis: a report of 3 cases]

Between 1978-1990 three patients were surgically treated with different kinds of intestinal endometriosis at the Instituto Nacional de la Nutrición Salvador Zubirán in Mexico City. The first patient had acute appendicitis without dysmenorrhea or pelvic endometriosis detected during laparotomy. The second patient had incomplete intestinal obstruction related to ileo-cecal involvement. She clinically had dysmenorrhea and were found multiple endometriosis implants during operation. After the ileocecal excision suppressive hormonal therapy was given, the patient developed side effects, then surgical resection of the uterus and ovaries were performed. The third patient was a 48-year-old woman who developed a progressive lower intestinal obstruction. She underwent a three-time operative procedure. Lower sigmoid resection was performed and no endometriosis implants or metastatic disease were found. Postoperative course was uneventful in all patients, no mucosal involvement or associated carcinoma was found. Surgical resection of the affected portions of the bowel was highly effective in each case.