Abstract
A 35-year-old female patient receiving gynecological treatment for endometriosis was diagnosed as having small bowel obstruction due to an ileal tumor. Laparoscopic ileo-cecal resection with D3 lymph node dissection was performed, because preoperative diagnosis was not confirmed. The intraoperative observation showed that there were a lot of blue-berry spots in the pelvic space and all such spots were cauterized using power device. Although pathological diagnosis showed a heterotopic endometriosis of the terminal ileum along with a dissected lymph node, there were no malignant findings in the resected specimen including dissected lymph nodes. Laparoscopic surgery would be adequate for such disease, because both curative surgery for small bowel obstruction due to an ileal endometriosis and cauterization for all blue-berry spots could be performed at the same time.
