PubMed Central
Cure8 research brief
Midgut Volvulus with Necrosis: A Complication of Endometriosis
Procedures and surgery
Colonoscopy
Biopsy
Imaging
Bowel Resection
Case Report
Adult patients
Clinicians
Why This Matters
Intestinal endometriosis can mimic Crohn’s disease and, in rare cases, lead to life‑threatening bowel necrosis requiring emergency surgery. Awareness may prompt consideration of alternate diagnoses in atypical or treatment‑resistant presumed IBD cases.
Who Should Pay Attention
Patients with chronic pelvic/GI symptoms, clinicians (surgeons, gynecologists, gastroenterologists), and caregivers.
Study Snapshot
Story typeResearch paper
Evidence typeResearch paper
Source depthMetadata only
What To Know
This case report describes a 33‑year‑old woman whose deeply infiltrating endometriosis (DIE) of the bowel and mesentery caused midgut volvulus with extensive hemorrhagic necrosis.
She presented in septic shock after months of GI symptoms and a prior working diagnosis of Crohn’s disease; intraoperative findings required resection of necrotic bowel and creation of an end jejunostomy. Final pathology showed DIE with no histologic evidence of Crohn’s disease.
Postoperative recovery was complicated by ICU care, cardiac arrest, and short bowel syndrome; pelvic MRI later confirmed stage IV endometriosis involving the rectosigmoid. This report highlights that intestinal endometriosis can mimic inflammatory bowel disease and, though rare, can progress to life‑threatening bowel compromise requiring emergency surgery.
Multidisciplinary care (colorectal surgery, gynecology, reproductive endocrinology) was used for follow‑up.
Keep In Mind
Single case report — rare complication; does not change standard care but illustrates diagnostic challenges and the value of multidisciplinary management.
Source Details
Review the original publication for the complete reporting, methods, and context.
Research paper
Evidence type derived from source or registry metadata.
PublicationPubMed Central
JournalCRSLS
AuthorsAbozenah, Yasmin, Antonakea, Niki Katsara, Altwerger, Gary +2 more
Indexed viaPubMed Central
Source typeResearch repository record
PublishedAug 10, 2026, 12:00 AM
Content availableMetadata only
This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.
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