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Korean Journal of Obstetrics & Gynecology 2008;51(11):1389-1395.
Published online November 1, 2008.
A case of intestinal obstruction caused by intestinal endometriosis.
Ji Eun Shin, Young Jeong Na, Chan Lee, Sang Guen Jung, Hea Ree Park, Tae Heon Kim, Yeun Young Hwang
1Department of Obstetrics and Gynecology, Bundang CHA General Hospital, College of Medicine, Pocheon CHA University, Bundang, Korea. aa06022@cha.ac.kr
2Department of Pathology, Bundang CHA General Hospital, College of Medicine, Pocheon CHA University, Bundang, Korea.
Endometriosis is a common disease in women of reproductive age, intestinal involvement has been estimated to occur in 3% to 37% of women with endometriosis, in rectosigmoid colon, appendix, ileum and cecum, in order of decreasing frequency. On the other hand, endometriosis of the small bowel, especially symptomatic small bowel involvement, is very unusual. Endometriosis is a rare cause of intestinal obstruction, and preoperative diagnosis is very difficult. It should be considered in the differential diagnosis of women of reproductive age who present with symptoms of obstruction. The definitive treatment includes resection of the involved segment with primary anastomosis. We report a 34-year-old woman following up infertility and ovarian endometrioma. She had nausea, vomiting and low abdominal pain who was operated on acute intestinal obstruction. Pathologic finding was endometriosis involving the ileum, cecum, appendix We present the case with a brief review of literature.
Key Words: Endometriosis, Intestinal obstruction, Ileum

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