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Updated: Feb 13, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Bowel endometriosis treated with simultaneous ileocecal and rectal resection
Noritoshi Mizuta1, Hirofumi Kosuga1, Youichiro Nakamura1
1Department of Surgery, Akashi Medical Center, Hyogo, Japan.
This study reports a rare case of simultaneous bowel endometriosis in multiple locations, requiring two colectomies. Early diagnosis and complete surgical resection are crucial for effective treatment.
Area of Science:
- Gastroenterology
- Gynecology
- Pathology
Background:
- Bowel endometriosis is a rare condition where endometrial tissue implants in the gastrointestinal tract.
- Symptoms often mimic other gastrointestinal disorders, leading to diagnostic challenges.
Observation:
- A 43-year-old female presented with hematochezia and abdominal pain during menstruation.
- Imaging revealed an ileocecal mass and a rectosigmoid submucosal lesion.
- Biopsies were initially benign, but surgical resection confirmed endometriosis in multiple bowel segments.
Findings:
- Pathological examination revealed endometrial tissue within the muscular layer of the ileocecum, rectosigmoid, and upper rectum.
- The patient underwent simultaneous ileocecal and rectal resections.
- This case highlights the multifocal nature and diagnostic complexity of bowel endometriosis.
Implications:
- Multifocal bowel endometriosis requiring extensive surgery is exceptionally rare.
- Comprehensive preoperative evaluation is essential for accurate diagnosis and treatment planning.
- Complete surgical resection is vital for definitive diagnosis and management of bowel endometriosis.
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