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Case Report
Ileocecal endometriosis mimicking Crohn’s disease and causing acute small bowel obstruction: A case report and review of literature
1 MD, Department of Surgery, Central Military Hospital, Beirut, Lebanon
2 MD, FAHS Surgical Services, Dearborn, Michigan, USA
3 MD, ABS, FACS, Department of Surgery, Makassed General Hospital, Beirut, Lebanon
4 MD, FS, FACS, Department of Surgery, Central Military Hospital, Beirut, Lebanon
Address correspondence to:
Houssam Khodor Abtar
Department of Surgery, Makassed General Hospital, Beirut,
Lebanon
Message to Corresponding Author
Article ID: 101129Z01JT2020
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How to cite this article
Terro JJ, Jammoul KM, Lakkis RS, Al Raishouni MA, Mneimneh M, Abtar HK. Ileocecal endometriosis mimicking Crohn’s disease and causing acute small bowel obstruction: A case report and review of literature. Int J Case Rep Images 2020;11:101129Z01JT2020.ABSTRACT
Introduction: Endometriosis, defined as the growth of extrauterine endometrial tissue, is a chronic gynecologic pathology affecting reproductive-age women. Bowel endometriosis occurs in the rectosigmoid region and uncommonly in the ileocecal area.
Case Report: Herein, we report a case of a 35-year-old Crohn’s disease virgin female patient complaining of both cyclic and noncyclic chronic diffuse abdominal pain for several months, presenting with a picture of small bowel obstruction. Computed tomography scan showed distended small bowel loops, multiple air-fluid levels, and fat stranding in the ileocecal region. Exploratory laparotomy revealed a 2–3 cm ileocecal mass causing adhesions and small bowel obstruction. Right hemicolectomy with primary side-to-side ileocolic anastomosis performed. Histology came with bowel endometriosis invading the submucosa of the ileum and muscularis propria of the cecum.
Conclusion: Ileocecal endometriosis is a great diagnostic challenge for medical professionals for its mimicry to many pathologies in this region. Preoperative diagnosis is being more precise with time as the use of magnetic resonance imaging enterography. More studies must be carried on about the guidelines of surgical treatment and techniques of ileocecal endometriosis and its outcomes.
Keywords: Diagnostic challenge, Ileocecal endometriosis, Small bowel obstruction
SUPPORTING INFORMATION
Author Contributions
Jad Jamal Terro - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Kassem Mohammad Jammoul - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rayan Said Lakkis - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammad Ahmad Al Raishouni - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mostapha Mneimneh - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Houssam Khodor Abtar - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Jad Jamal Terro et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
