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[Leiomyoma-dependent ileal invagination as a cause of intermittent intestinal obstruction]
A Alvarez Sánchez1, C Ciriza de los Ríos, J García Cabezas
1Servicio de Aparato Digestivo, Hospital Universitario San Carlos, Madrid.
Abstract:
We report the case of a 35-years-old-woman with history of abdominal surgery who presented several episodes of intermittent intestinal obstruction. Postoperative adhesions were suspected; laparoscopy surgery was made and uterine and anexial inflammation was observed. She was discharge with the diagnosis of inflammatory pelvic disease. Posteriorly, she was admitted with a new episode of intestinal obstruction. At laparotomy, intestinal intussusception was founded due to the presence of intestinal leiomyoma. We stress the relevance of two possible etiologies of intestinal obstruction; the coexistence of them difficult the diagnosis. Epidemiology, clinical presentation and diagnosis of leiomyomas of small intestine were reviewed.