title: Puerperal ileal perforation secondary to endometriosis: Case report and literature review.
abstract: OBJECTIVE
  Bowel endometriosis is an uncommon disease that can cause serious complications and may require immediate medical attention. We wish to remind about bowel perforation caused by endometriosis, its diagnostic difficulty, and the need or urgent management in late pregnancy and puerperium.
  
  
  METHODS
  We present a 38-year-old woman, which presented with bowel perforation requiring urgent surgery. A pathological exam disclosed deep ileal infiltrative endometriosis.
  
  
  CONCLUSIONS
  Even though bowel endometriosis is a rare complication, it should be considered in the differential diagnosis of severe abdominal pain in late pregnancy or puerperium. A multidisciplinary management of these patients is needed.
authors.affiliation: Department of Obstetrics and Gynaecology, Hospital Universitario Fundación Alcorcón, Madrid, Spain. Electronic address: jalbareda@fhalcorcon.es.
authors.forename: Judit
authors.initials: J
authors.lastname: Albareda
authors.affiliation: Department of Obstetrics and Gynaecology, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
authors.forename: Manuel Victor
authors.initials: MV
authors.lastname: Albi
authors.affiliation: Department of Pathology, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
authors.forename: Grevelyn
authors.initials: G
authors.lastname: Sosa
authors.affiliation: Department of Obstetrics and Gynaecology, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Cano
authors.affiliation: Department of Surgery, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
authors.forename: Manuel Emilio
authors.initials: ME
authors.lastname: Macello
authors.affiliation: Department of Obstetrics and Gynaecology, Hospital Universitario Severo Ochoa, Madrid, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Albi Martin
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications*; D007416:Intestinal Perforation / Q000209:etiology*; D009852:Omentum; D010532:Peritoneal Diseases / Q000150:complications*; D010538:Peritonitis / Q000209:etiology; D049590:Postpartum Period
keywords: bowel perforation; bowel resection; ileum; intestinal endometriosis