ABSTRACT

Endometriosis is a chronic gynaecological disease characterized by the histologic presence of endometrial glands and stroma outside the uterine cavity. The prevalence of endometriosis in women of reproductive age is estimated to be 10-15%. The intestinal tract involvement is reported in about 12% to 35% of all cases of endometriosis. 5-15% of the patients with pelvic endometriosis have bowel involvement but the circumferential involvement of the rectum leading to rectal obstruction is rare. Intestinal obstruction in patients with endometriosis may result in recurrent abdominal pain and alteration in bowel habits. We report that two case of intestinal obstruction due to endometrioma. Despite its low frequency, intestinal endometriosis can cause acute abdomen due to total bowel obstruction. Endometrioma of the bowel should be considered in the differential diagnosis in women of reproductive age presenting with symptoms of bowel obstruction and a history of endometriosis.