title: Acute Small Bowel Obstruction and Small Bowel Perforation as a Clinical Debut of Intestinal Endometriosis: A Report of Four Cases and Review of the Literature.
abstract: Endometriosis is a quite common pathology, however, intestinal endometriosis is a rare condition, which typically occurs with chronic symptoms. Its acute presentation is very infrequent. We herein report four cases of intestinal endometriosis, in which the clinical debut occurred acutely: two as an acute small bowel obstruction and two as a small bowel perforation. None of the cases had a preoperative diagnosis of endometriosis. The interest of these cases lies in this exceptional form of presentation, such as a surgical acute abdomen. Therefore, intestinal endometriosis should be taken into account in the differential diagnosis of an acute obstructive or perforative process of the small or large bowel.
authors.affiliation: Department of Internal Medicine, University Hospital 12 de Octubre, Spain.
authors.forename: Angel
authors.initials: A
authors.lastname: Torralba-Morón
authors.forename: Maria
authors.initials: M
authors.lastname: Urbanowicz
authors.forename: Carolina
authors.initials: C
authors.lastname: Ibarrola-De Andres
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Lopez-Alonso
authors.forename: Francisco
authors.initials: F
authors.lastname: Colina-Ruizdelgado
authors.forename: Juan-Manuel
authors.initials: JM
authors.lastname: Guerra-Vales
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000208:Acute Disease; D000328:Adult; D003082:Colectomy; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology; D008875:Middle Aged