Affiliation:
1. General Surgery Department, Clínica Universitaria Reina Fabiola, Oncativo, Córdoba Capital, Argentina
Abstract
Abstract
Cecal endometriosis is a rare entity that can present as nonspecific acute abdominal pain and can be complicated by ileocolic intussusception, which is extremely infrequent. We present the case of a 33-year-old woman with no relevant pathological antecedents who consulted for abdominal pain for 5 days, associated with rebound tenderness and abdominal guarding on the right lower quadrant and a palpable mass during the physical examination. Computed tomography was realized and emergency surgery performed due to suspected ileocolic intussusception. The laparoscopic examination identified an ileocolic intussusception associated with a tumor. Conversion to open surgery was needed, and an oncological right hemicolectomy with ileotransverse anastomosis was carried out. Histopathological study reported ileocolic intussusception and a focus of cecal endometriosis. Currently, the patient does not have recurrences. Ileocolic intussusception secondary to deep endometriosis requires great diagnostic presumption in women of childbearing age with acute abdomen diagnosis.
Publisher
Oxford University Press (OUP)
Reference10 articles.
1. Ileocolic intussusception due to a cecal endometriosis: case report and review of literature;Rivkine;Diagn Pathol,2012
2. Bowel endometriosis: presentation, diagnosis, and treatment;Remorgida;Obstet Gynecol Surv,2007
3. Ileocolic intussusception due to endometriosis;Koutsourelakis;JSLS: Journal of the Society of Laparoendoscopic Surgeons,2007
4. Intussusception in adults: CT diagnosis;Gayer;Clin Radiol,1998
5. Adult intussusception;Azar;Ann Surg,1997