Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

Ryota Koyama; Takeshi Aiyama; Ryoji Yokoyama; Shiro Nakano

doi:10.12659/AJCR.930141

23 March 2021 : Case report Japan

Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

Challenging differential diagnosis

Ryota Koyama^1ABCDEF*, Takeshi Aiyama^1AB, Ryoji Yokoyama^1AB, Shiro Nakano^1AB

DOI: 10.12659/AJCR.930141

Am J Case Rep 2021; 22:e930141

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Figure 1. (A, B) Contrast-enhanced computed tomography (CT) findings. Abdominal contrast-enhanced CT revealed a heterogeneously enhanced lesion with cystic content, which measured approximately 50×25×35 mm (arrowhead). The caliber change of the ileum at the same site and dilated small bowel proximal to the caliber change were observed. No dilated lymph nodes were found. A polycystic lesion was found in the right ovary, confirming the previously diagnosed right chocolate cyst (arrow head). No other intrapelvic lesion or ascites was detected.

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Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

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