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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
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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
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Author Contributions
Jad Jamal Terro - Conception of the work, Design of the work, Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Kassem Mohammad Jammoul - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rayan Said Lakkis - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mohammad Ahmad Al Raishouni - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mostapha Mneimneh - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Houssam Khodor Abtar - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor 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.
