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Open Access Case Report

Ileocolic intussusception due to a cecal endometriosis: Case report and review of literature

Rivkine Emmanuel1*, Marciano Léa2, Polliand Claude1, Valenti Antonio1, Ziol Marianne2, Poncelet Christophe3 and Barrat Christophe1

Author Affiliations

1 Department of digestive and endocrine surgery, University Hospital Jean Verdier, Assistance Publique-Hôpitaux de Paris, Avenue du 14 Juillet, 93140, Bondy, Paris, France

2 Department of pathology, University Hospital Jean Verdier, Assistance Publique-Hôpitaux de Paris, Avenue du 14 juillet, 93143, Bondy, France

3 Department of obstetrics and gynaecology and ART Centre, University Hospital Jean Verdier, Assistance Publique-Hôpitaux de Paris, Avenue du 14 juillet, 93143, Bondy, France

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Diagnostic Pathology 2012, 7:62  doi:10.1186/1746-1596-7-62

Published: 7 June 2012

Abstract

Cecal endometriosis and ileocolic intussusception due to a cecal endometriosis is extremely rare. We report a case of a woman who presented an ileocecal intussusception due to a cecal endometriosis. The patient gave two months history of chronic periombilical pain requiring regular hospital admission and analgesia. The symptoms were not related to menses. A laparotomy was performed and revealed an ileocolic intussusception. The abdominal exploration did not find any endometriosis lesion. Ileocaecal resection was performed. Microscopic examination showed a cystic component, lined by a regular cylindric epithelium. Foci of endometrial tissu were oberved in the cecal subserosa and muscularis mucosal, with irregular endometrial glands lined by cylindric epithelium without atypia immunostained with CK7, and characteristic endometrial stroma immunostained with CD10. Cecal endometriosis and ileocolic intussusception due to a cecal endometriosis is extremely rare. Diagnose of etiology remains challenging due to the absence of clinical and radiological specific characteristics.

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/2975867306869166 webcite

Keywords:
Endometriosis; Ileocolic intussusception; Digestive endometriosis