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Katagiri H, Lefor AK, Nakata T, et al. Intussusception secondary to endometriosis of the cecum. Int J Surg Case Rep. 2014;5(12):890-2doi: 10.1016/j.ijscr.2014.10.047.
Katagiri, H., Lefor, A. K., Nakata, T., Matsuo, T., & Shimokawa, I. (2014). Intussusception secondary to endometriosis of the cecum. International journal of surgery case reports, 5(12), 890-2. https://doi.org/10.1016/j.ijscr.2014.10.047
Katagiri, Hideki, et al. "Intussusception secondary to endometriosis of the cecum." International journal of surgery case reports vol. 5,12 (2014): 890-2. doi: https://doi.org/10.1016/j.ijscr.2014.10.047
Katagiri H, Lefor AK, Nakata T, Matsuo T, Shimokawa I. Intussusception secondary to endometriosis of the cecum. Int J Surg Case Rep. 2014;5(12):890-2. doi: 10.1016/j.ijscr.2014.10.047. Epub 2014 Oct 23. PMID: 25460428; PMCID: PMC4276274.
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Int J Surg Case Rep. 2014;5(12):890-2. doi: 10.1016/j.ijscr.2014.10.047. Epub 2014 Oct 23.

Intussusception secondary to endometriosis of the cecum.

International journal of surgery case reports

Hideki Katagiri, Alan Kawarai Lefor, Tetsuo Nakata, Toshikazu Matsuo, Isao Shimokawa

Affiliations

  1. Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), 3-4-32, Todaijima, Urayasu City, Chiba 279-0001, Japan. Electronic address: [email protected].
  2. Department of Surgery, Jichi Medical University, 1-3311, Yakushiji, Shimotsuke City, Tochigi 329-0498, Japan.
  3. Department of Surgery, Ohmura City Municipal Hospital, 133-22, Kogashima-machi, Ohmura City, Nagasaki 865-8561, Japan.
  4. Department of Investigative Pathology, Graduate School of Biomedical Science, Nagasaki University, 1-12-4, Sakamoto, Nagasaki City, Nagasaki 852-8523, Japan.

PMID: 25460428 PMCID: PMC4276274 DOI: 10.1016/j.ijscr.2014.10.047

Abstract

INTRODUCTION: Intussusception in adults is a rare cause of bowel obstruction. Endometriosis of the bowel is also a rare entity that can be the cause of bowel obstruction. Here, we report a rare case of intussusception secondary to endometriosis of the cecum.

PRESENTATION OF CASE: A 40-year-old woman presented to the hospital with a one-week history of intermittent epigastric pain. On physical examination, there was a soft, round non-tender palpable mass in the right flank and abdominal computed tomography scan revealed an intussusception. We made the diagnosis of ileo-colic intussusception and performed ileocecal resection. The surgical specimen revealed a round submucosal cystic mass in the cecum and the histology showed endometriosis of the cecum.

DISCUSSION: Intussusception in adults is a rare entity present in just 1% of all patients with bowel obstruction, and 5% of all intussusceptions. In general, intussusception in adults has a pathologic lesion as the lead point and the lesion is a malignancy in 20-50% of the cases. Thus, the treatment of an intussusception in adults should be operative. Endometriosis of the bowel is a rare cause of intussusception. Small endometriosis lesions of the bowel are unlikely to cause symptoms; however, in patients presenting with bowel obstruction, urgent treatment is indicated.

CONCLUSION: Intussusception in an adult is a rare cause of bowel obstruction and intussusception caused by endometriosis is also rare. Although rare, the diagnosis of endometriosis as a cause of intussusception must be considered as part of the differential diagnosis.

Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Bowel obstruction; Endometriosis of the bowel; Intussusception

References

  1. Lancet. 2004 Nov 13-19;364(9447):1789-99 - PubMed
  2. Obstet Gynecol Surv. 2007 Jul;62(7):461-70 - PubMed
  3. JSLS. 2010 Jan-Mar;14(1):140-2 - PubMed
  4. Ann Surg. 1997 Aug;226(2):134-8 - PubMed

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