Endometriosis of the Terminal Ileum: A Diagnostic Dilemma
Author(s) -
Kerem Karaman,
Emel Ebru Pala,
Ümit Bayol,
Özlem Akman,
Mustafa Ölmez,
Saime Ünlüoğlu,
Şafak Öztürk
Publication year - 2012
Publication title -
case reports in pathology
Language(s) - English
Resource type - Journals
eISSN - 2090-6781
pISSN - 2090-679X
DOI - 10.1155/2012/742035
Subject(s) - endometriosis , medicine , ileum , pathological , terminal ileum , presentation (obstetrics) , pathology , stroma , disease , uterus , gastroenterology , radiology , immunohistochemistry
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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