Ileocolic intussusception due to a cecal endometriosis: case report and review of literature.
Cecal endometriosis and ileocolic intussusception due to a cecal endometriosis is extremely rare. We report a case of a woman who presented an ileocecal intussusception due to a cecal endometriosis. The patient gave two months history of chronic periombilical pain requiring regular hospital admission and analgesia. The symptoms were not related to menses. A laparotomy was performed and revealed an ileocolic intussusception. The abdominal exploration did not find any endometriosis lesion. Ileocaecal resection was performed. Microscopic examination showed a cystic component, lined by a regular cylindric epithelium. Foci of endometrial tissue were observed in the cecal subserosa and muscularis mucosal, with irregular endometrial glands lined by cylindric epithelium without atypia immunostained with CK7, and characteristic endometrial stroma immunostained with CD10. Cecal endometriosis and ileocolic intussusception due to a cecal endometriosis is extremely rare. Diagnose of etiology remains challenging due to the absence of clinical and radiological specific characteristics.



The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/2975867306869166.
Emmanuel
E
Rivkine
Department of Digestive and Endocrine Surgery, University Hospital Jean Verdier, Assistance Publique-Hôpitaux de Paris, Avenue du 14 Juillet, 93140 Bondy, Paris, France. emmanuel.rivkine@jvr.aphp.fr
Rivkine
R
Emmanuel
Léa
L
Marciano
Marciano
M
Léa
Claude
C
Polliand
Polliand
P
Claude
Antonio
A
Valenti
Valenti
V
Antonio
Marianne
M
Ziol
Ziol
Z
Marianne
Christophe
C
Poncelet
Poncelet
P
Christophe
Christophe
C
Barrat
Barrat
B
Christophe
D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000698:Analgesia; D015415:Biomarkers / Q000032:analysis; D002429:Cecal Diseases / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery; D005260:Female; D006760:Hospitalization; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D007150:Immunohistochemistry; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D053552:Keratin-7 / Q000032:analysis; D015260:Neprilysin / Q000032:analysis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
D015415:Biomarkers; C507497:KRT7 protein, human; D053552:Keratin-7; D015260:Neprilysin