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Ileocolonic intussusception due to severe endometriosis

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Abstract

Endometriosis is the presence of normal endometrial tissue outside the uterus, which may appear in up to 15% of fertile female population. Bowel endometriosis is uncommon, and obstruction due to endometrial ileocolic intussusception is extremely rare. Herein, we report a case of a 27-year-old female who presented with bowel obstruction due to ileocolic intussusception secondary to endometriosis. A 27-year-old female, without pregnancies, and with a 1 year history of endometriosis presented to the emergency department referring severe abdominal pain in right lower quadrant, nausea and vomiting, she had medical history of prior episodes of mild abdominal pain due to endometriosis with OB/GYN follow-up. Physical examination revealed abdominal distension with decreased bowel movements to auscultation. A CT scan reported suspicion of intussusception. Colonoscopy was ordered, where an ileocolic intussusception was found. Diagnostic laparoscopy was performed, and the initial diagnosis was confirmed. A right hemicolectomy with extracorporeal anastomosis was achieved without any surgical complications. The patient was discharge on postoperative day 4 and continues doing well on a 12 month follow-up. Ileocolic intussusception due to endometriosis is a very rare condition, and it must be considered a differential diagnosis in female patients in reproductive age, when presenting with intestinal obstruction.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Mexico

    Carlos Antonio Morales-Morales, Luis Fernando Morales-Flores, Mauricio Gonzalez-Urquijo, Elizabeth Suárez-Márquez, Mario Zambrano-Lara, Adrian A. Baca-Arzaga & Lucas Octavio Tijerina-Gómez

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  1. Carlos Antonio Morales-Morales
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  2. Luis Fernando Morales-Flores
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  3. Mauricio Gonzalez-Urquijo
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  4. Elizabeth Suárez-Márquez
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  5. Mario Zambrano-Lara
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  6. Adrian A. Baca-Arzaga
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  7. Lucas Octavio Tijerina-Gómez
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Correspondence to Mauricio Gonzalez-Urquijo.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of Tecnologico de Monterrey ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.

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Morales-Morales, C.A., Morales-Flores, L.F., Gonzalez-Urquijo, M. et al. Ileocolonic intussusception due to severe endometriosis. Clin J Gastroenterol 14, 1381–1385 (2021). https://doi.org/10.1007/s12328-021-01473-9

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  • DOI: https://doi.org/10.1007/s12328-021-01473-9

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