2019 Volume 44 Issue 1 Pages 56-61
We report the case of a 44-year-old woman who presented with recurrent episodes of intestinal obstruction during menstruation. Abdominal computed tomography revealed an ileocecal mass with bowel wall thickening. Ileal endometriosis was suspected. As the patient complained of dysmenorrhea, pseudo-menopause was induced with a GnRH analogue, and during the six months of pseudo-menopause, the patient reported no symptoms of intestinal obstruction. After she discontinued taking oral contraceptives, she again presented with symptoms of intestinal obstruction on the second day of menstruation. On MR imaging, the ileocecal mass was visualized as a high signal intensity on T1-weighted images and as a low signal intensity on T2-weighted images. Under the preoperative diagnosis of intestinal endometriosis, laparoscopic ileocecal resection was successfully performed. Histopathological examination confirmed the diagnosis of ileal endometriosis with lymph node involvement.
