{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:14:25Z","timestamp":1791508465166,"version":"4.3.4"},"reference-count":14,"publisher":"Royal College of Surgeons of England","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p> The reported incidence of intestinal endometriosis varies between 22% and 37%, with bowel obstruction in only 2.3% of cases, but few series report acute obstruction. We report a rare case of acute bowel obstruction due to multiple bilateral deep intestinal endometriosis lesions localised in the ileum, ileocaecal valve and upper rectum, requiring synchronous resection in an emergency setting. <\/jats:p><jats:p> A 42-year-old woman was referred to our clinic with a diagnosis of obstructing Crohn\u2019s disease based on abdominal computed tomography with oral contrast showing a thickened terminal ileum with stenosis, compression of the caecum and proximally dilated small bowel loops. Simultaneous ileocaecal resection and segmental resection of the upper rectum with handsewn end-to-end anastomosis between the sigmoid colon and rectum was performed. Owing to the advanced bowel obstruction and significant weight loss, a double barrelled ileoascendostomy was created. The patient had an uneventful recovery. Histological examination revealed transmural endometriosis with involvement of the pericolic fat in both specimens. <\/jats:p><jats:p> Although intestinal endometriosis causing acute bowel obstruction is rare, it should be included among the differential diagnoses in young women with recurrent abdominal pain, intermittent diarrhoea and constipation without a family history for inflammatory bowel disease or cancer. Bleeding synchronous with menstruation is not typical for intestinal endometriosis. Right-sided intestinal endometriosis more frequently causes acute bowel obstruction, in most cases due to intussusception. <\/jats:p>","DOI":"10.1308\/rcsann.2020.0118","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T11:04:36Z","timestamp":1592219076000},"page":"e205-e208","source":"Crossref","is-referenced-by-count":5,"title":["Ileus caused by small bowel, ileocaecal and rectal endometriosis misdiagnosed as Crohn\u2019s disease and managed by synchronous ileocaecal and rectal resection"],"prefix":"10.1308","volume":"102","author":[{"given":"G","family":"Popivanov","sequence":"first","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Stoyanova","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Fakirova","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Konakchieva","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Stefanov","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Kjossev","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Mutafchiyski","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)90430-F"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610400009568"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/del079"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00453.x"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1988.01400310069011"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-013-0240-1"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1159\/000358919"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(25)90629-1"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1556\/650.2016.30611"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1159\/000194197"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.146"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-207229"},{"key":"bib13","first-page":"87","author":"Oldani A","year":"2016","journal-title":"Ann Ital Chir"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2322030762"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2020.0118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:24:04Z","timestamp":1684146244000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2020.0118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1308\/rcsann.2020.0118"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2020.0118","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}