Journal of the European Society for Gynaecological Endoscopy


Diagnosis and treatment of uncommon ileal endometriosis: a case report and literature review

M. Mabrouk 1,2, D. Raimondo 1, M. Cofano 1, L. Cocchi 1, R. Paradisi 1, R. Seracchioli 1

1 Division of Gynaecology and Human Reproduction Physiopathology, Department of Medical and Surgical Sciences (DIMEC), IRCCS Azienda Ospedaliero, Univeristaria di Bologna. S. Orsola Hospital, University of Bologna, Via Massarenti 13, Bologna, 40138 Italy
2 Cambridge Endometriosis & Endoscopic Surgery Unit (CEESU) and Cambridge University Hospitals NHS Foundation Trust, Addenbrooke’s Hospital, Cambridge, United Kingdom


ileal endometriosis, endometriosis, small bowel endometriosis, laparoscopic surgery, laparoscopy

Published online: Jan 13 2022


Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It is a common finding in premenopausal women and commonly affects the gastrointestinal tract, especially the rectosigmoid tract. Small bowel involvement is rare and usually asymptomatic making diagnosis difficult. Here we report an uncommon case of exophytic ileal endometriosis surgically treated. Detailed pre-operative counselling on the risk of ileal surgery should always be considered in all cases with endometriosis requiring surgery. We also present a review of the literature regarding the clinical presentation, diagnosis, and treatment of this challenging condition.