# A case report of intestinal intussusception secondary to endometriosis of the last ileal loop

## TL;DR

This case report describes a rare instance of intestinal intussusception caused by endometriosis in a 37-year-old woman, emphasizing the need for early diagnosis and multidisciplinary treatment.

## Contribution

The paper presents a clinical case highlighting the surgical management and diagnostic challenges of endometriosis-induced intestinal intussusception.

## Key findings

- Surgical resection without disinvagination is the standard treatment to prevent endometrial tissue spread.
- Early diagnosis using imaging and multidisciplinary care improves outcomes for this rare condition.
- Intestinal endometriosis often presents with nonspecific symptoms, leading to delayed diagnosis.

## Abstract

Acute intestinal intussusception secondary to intestinal endometriosis is a rare entity, but it can be life-threatening. Improving diagnostic and therapeutic investigations through multidisciplinary collaboration improves its management and prognosis.

Reporting the clinical case of a 37-year-old patient admitted for treatment of intestinal intussusception secondary to intestinal endometriosis. She underwent a resection of the invaginated segment without disinvagination and a manual end-to-end ileo-ileal anastomosis. Pathological examination concluded that there was intestinal endometriosis with simple surgical suites.

Several studies have addressed the subject of intestinal intussusception secondary to intestinal endometriosis. However, the studies are mainly case reports. It is certainly rare, but potentially serious, and all studies converge on the importance of diagnosis and rapid multidisciplinary care.

Due to its rarity and the non-specificity of its symptoms, digestive endometriosis is poorly understood and is often diagnosed late. Intussusception secondary to endometriosis is rare and generally requires surgery.

•Intestinal intussusception caused by endometriosis is an extremely rare condition, especially in adults. It often presents with nonspecific symptoms, making early diagnosis challenging. This case emphasizes the importance of considering intestinal endometriosis in women who present with symptoms of intestinal obstruction.•The case highlights that surgical resection of the affected bowel segment, without attempting intraoperative disinvagination, is the standard treatment. This approach prevents the potential dissemination of endometrial tissue and serves both diagnostic and therapeutic purposes.•Early diagnosis through imaging techniques such as abdominal ultrasound and CT scans, combined with a multidisciplinary team involving surgeons, radiologists, and pathologists, is critical to improving patient outcomes and prognosis.

Intestinal intussusception caused by endometriosis is an extremely rare condition, especially in adults. It often presents with nonspecific symptoms, making early diagnosis challenging. This case emphasizes the importance of considering intestinal endometriosis in women who present with symptoms of intestinal obstruction.

The case highlights that surgical resection of the affected bowel segment, without attempting intraoperative disinvagination, is the standard treatment. This approach prevents the potential dissemination of endometrial tissue and serves both diagnostic and therapeutic purposes.

Early diagnosis through imaging techniques such as abdominal ultrasound and CT scans, combined with a multidisciplinary team involving surgeons, radiologists, and pathologists, is critical to improving patient outcomes and prognosis.