A Case of Ileocecal Endosalpingiosis Presented with Repeated Episodes of Intestinal Obstruction

Abstract

Endosalpingiosis is defined as ectopic fallopian tube epithelium. We report a case of ileocecal endosalpingiosis presented with repeated episodes of intestinal obstruction. The patient was a 42-year-old woman who had undergone laparoscopic-assisted uterine myomectomy and left paraovarian cystectomy. After that, she was hospitalized three times with the diagnosis of intestinal obstruction and she visited our department.

Preoperative examination revealed a narrowing in the ileocecal area and we performed laparoscopic ileocecal resection because a possibility of adhesion or malignant tumor could not be ruled out. Surgical findings revealed an induration in the ileocecum. Histopathological findings showed endosalpingiosis with ectopic ovarian tube epithelium in the ileocecal wall. We think this case is extremely rare, because the patient was symptomatic and this endosalpingiosis was located at the ileocecum.