This case report details a 39-year-old woman with a history of endometriosis who presented with severe abdominal pain, vomiting, and nausea, leading to a diagnosis of intestinal perforation caused by endometriosis. The patient underwent emergency surgery to resect the perforated bowel and an adjacent mass. Pathology confirmed the presence of endometrial tissue within the intestinal wall. This case underscores the importance of considering endometriosis in the differential diagnosis of acute abdominal pain, particularly in women with a history of the disease. Early diagnosis and prompt surgical intervention are crucial for managing this potentially life-threatening complication.
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http://dx.doi.org/10.1002/ccr3.70226 | DOI Listing |
Cureus
February 2025
Department of Pathology, Toranomon Hospital, Tokyo, JPN.
Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) is a rare and aggressive form of peripheral T-cell lymphoma originating from intestinal epithelial lymphocytes and is associated with a poor prognosis. We present the case of a 50-year-old woman who developed a gastrointestinal perforation, initially suspected to be due to ovarian cancer with peritoneal dissemination. The patient underwent laparoscopic adnexal resection and laparotomy for the intestinal perforation.
View Article and Find Full Text PDFWorld J Gastrointest Surg
February 2025
Department of Digestive Endoscopy Center, Digestive Disease Center, Suining Central Hospital, Suining 629000, Sichuan Province, China.
Background: Acute abdominal pain is one of the most common gastrointestinal symptoms. The etiology of acute abdomen can be challenging for gastroenterologists to establish. Cecal foreign body is a rare cause of cecal perforation.
View Article and Find Full Text PDFLeg Med (Tokyo)
February 2025
Department of Forensic Medicine - Teaching Hospital Of Monastir, Faculty of Medicine, Tunisia.
Crohn's colitis is an inflammatory bowel disease affecting the colon, which can result in serious complications such as intestinal perforation and peritonitis. Clinically, it presents with symptoms like abdominal pain, diarrhea, and vomiting, which can be misinterpreted or overlooked, leading to diagnostic delays. We present an autopsy case of a 43-year-old woman with no significant past medical history, who initially consulted the Emergency Department for persistent abdominal pain, vomiting, and diarrhea over a 10-day period.
View Article and Find Full Text PDFCureus
February 2025
Internal Medicine, University of Florida College of Medicine, Ascension Sacred Heart, Pensacola, USA.
Pneumatosis intestinalis (PI) is a rare but potentially serious gastrointestinal condition with diverse clinical presentations. Pneumatosis intestinalis is identified by the presence of gas in the extraluminal intestinal wall and is further subclassified into benign pneumatosis intestinalis (BPI) and life-threatening pneumatosis intestinalis (LTPI). Prompt and accurate diagnosis, often aided by imaging studies, is crucial to guide appropriate management.
View Article and Find Full Text PDFJ Minim Access Surg
March 2025
Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani, Maharashtra, India.
Intestinal perforation due to an ingested foreign body is a serious complication; although it is often misdiagnosed, while treatment gets delayed due to non-specific symptoms. The present case report describes the case of small bowel perforation due to an ingested chicken bone wherein a 35-year-old female patient presented to the emergency department with a complaint of lower abdominal pain for 2 days. Based on history and symptom review, initially, a working diagnosis of a case of the ruptured haemorrhagic cyst was given, while the ultrasonography findings of the abdomen and pelvis, also, pointed towards a similar diagnosis.
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