Perforación ileal secundaria a endometriosis / Ileal perforation secondary to intestinal endometriosis

RESUMEN

La endometriosis es la presencia de tejido endometrial fuera del útero. La afección del intestino por endometriosis es una entidad poco frecuente y suele ser asintomática o presentarse de forma inespecífica con dolor abdominal, diarrea, estreñimiento u obstrucción intestinal. La perforación intestinal es poco frecuente, y hay pocos casos publicados en la literatura médica. La endometriosis intestinal puede imitar a un gran número de enfermedades digestivas, como el síndrome del intestino irritable, la enfermedad inflamatoria intestinal, infecciones o neoplasias. El diagnóstico se suele realizar a través de laparoscopia o laparotomía. Presentamos el caso de una paciente con dolor abdominal recurrente y posterior perforación ileal, secundaria a endometriosis

ABSTRACT

Endometriosis is defined as the presence of endometrial tissue outside the uterus. The bowel is not often affected. There are no specific clinical findings for intestinal endometriosis. It is typically asymptomatic, but sometimes can present with abdominal pain, diarrhoea, constipation or intestinal obstruction. Ileal perforation is a rare complication of intestinal endometriosis and only a few cases have been reported in the literature. Intestinal endometriosis can mimic many gastrointestinal diseases, such as irritable bowel syndrome, inflammatory bowel disease, infections and neoplasms. The diagnosis is made by laparoscopy or laparotomy. We present a case of a woman with intermittent abdominal pain and ileal perforation secondary to intestinal endometriosis