Acute Small Bowel Obstruction and Small Bowel Perforation as a Clinical Debut of Intestinal Endometriosis: A Report of Four Cases and Review of the Literature

Angel Torralba-Morón; Maria Urbanowicz; Carolina Ibarrola-De Andres; Guadalupe Lopez-Alonso; Francisco Colina-Ruizdelgado; Juan-Manuel Guerra-Vales

doi:10.2169/internalmedicine.55.6461

CASE REPORTS

Acute Small Bowel Obstruction and Small Bowel Perforation as a Clinical Debut of Intestinal Endometriosis: A Report of Four Cases and Review of the Literature

Angel Torralba-Morón, Maria Urbanowicz, Carolina Ibarrola-De Andres, Guadalupe Lopez-Alonso, Francisco Colina-Ruizdelgado, Juan-Manuel Guerra-Vales

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Keywords: intestinal endometriosis, small bowel perforation, small bowel obstruction, acute abdomen

JOURNAL OPEN ACCESS

2016 Volume 55 Issue 18 Pages 2595-2599

DOI https://doi.org/10.2169/internalmedicine.55.6461

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Abstract

Endometriosis is a quite common pathology, however, intestinal endometriosis is a rare condition, which typically occurs with chronic symptoms. Its acute presentation is very infrequent. We herein report four cases of intestinal endometriosis, in which the clinical debut occurred acutely: two as an acute small bowel obstruction and two as a small bowel perforation. None of the cases had a preoperative diagnosis of endometriosis. The interest of these cases lies in this exceptional form of presentation, such as a surgical acute abdomen. Therefore, intestinal endometriosis should be taken into account in the differential diagnosis of an acute obstructive or perforative process of the small or large bowel.

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