Endometriosis of the terminal ileum: a diagnostic dilemma.

Case Rep Pathol 2012 11;2012:742035. Epub 2012 Sep 11.

Department of Third General Surgery Clinic, Tepecik Teaching and Research Hospital, Gaziler Cad. Number: 468, Tepecik Eğitim ve Araştırma Hastanesi, Yenisehir, 35110 Izmir, Turkey.

Endometriosis is characterized by the presence of endometrial tissue consisting of glands and/or stroma located outside the uterus. Involvement of the terminal ileum is extremely rare. Preoperative distinction of ileal endometriosis from other diseases of the ileocecal region is difficult in terms of clinical presentation, symptomatology, radiological appearance, and surgical and pathological findings. We report a case initially diagnosed as Crohn's disease due to a longstanding diarrhea with subsequent intestinal obstruction, but finally diagnosed as ileal endometriosis by histopathological evaluation after resection of the involved segment.

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http://dx.doi.org/10.1155/2012/742035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3446655PMC
September 2012
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Archives of Gynecology and Obstetrics 2011

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Archives of Surgery 1969

Fortschritte der Medizin 1992

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