Endometriosis causing ileocecal intussusception - 23/08/11
Doi : 10.1016/j.gie.2007.08.034
| Commentary Endometriosis, first described by Sabiard in 1696, now is recognized in up to 20% of menstruating women. GI involvement usually is asymptomatic and most commonly involves the rectosigmoid (70%-95%); appendiceal and ileal involvement are seen much less commonly (2%-16% and 3%-18%, respectively). Of interest is that endometriosis (and also diverticulitis) involves the right side of the colon and the appendix more so in Asian women than in white women. Endometriosis may mimic neoplasia, as in this case, with a mass or stricturing lesion, or it may resemble, also as in this case, the appearance of inflammatory (eg, Crohn’s disease), infectious (eg, tuberculosis), or ischemic disease. There are but a limited number of ways in which the body can manifest disease, and only rarely is the appearance of any diseased surface pathognomonic. Tumefaction, whether neoplastic, inflammatory, infectious, or ischemic, may present with intussusception, but it is only by microscopic evaluation of the intussusceptum that the nature of the process will become evident. The most important point to remember: always consider the possibility of endometriosis in a female patient who has recurrent abdominal pain and unexplained bowel symptoms. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2008
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 67 - N° 2
P. 352-353 - février 2008 Retour au numéro
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