Abstract
Ileal endometriosis is a rare condition, which, most of the time, is found incidentally
in women who have had abdominal or pelvic surgery. In general, ileal endometriosis
is asymptomatic and is responsible for small bowel obstruction in only 0.5% of the
cases. In addition, in most published cases, the diagnosis was established postoperatively.
We report herein two cases of ileal endometriosis, which were responsible for small
bowel occlusion. The diagnosis was considered preoperatively owing to the presence
of a constellation of findings, including those obtained on multidetector row helical
CT enteroclysis images. Multidetector row helical CT enteroclysis demonstrated dilated
small bowel up to a stenosis due to circumferential parietal thickening in the distal
ileum in one case and an ileal parietal solid nodule in the other one. Although multidetector
row helical CT enteroclysis does not show specific findings, it may help to suggest
the diagnosis of ileal endometriosis in the proper clinical setting.
Keywords
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Article info
Publication history
Published online: April 24, 2008
Accepted:
February 20,
2008
Received:
January 20,
2008
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
