Abstract Endometriosis represents a benign condition which has been described in up to 15% of premenopausal women. Endometrial tissue deposits are commonly found on the ovaries (endometriomas), uterosacral ligament and pouch of douglas. Extrapelvic endometriosis most commonly affects the gastrointestinal tract, but other locations have been reported, liver, lungs and pericardium. The rectosigmoid area is the most common affected gastrointestinal location (70–90% of cases. Other digestive tract organs affected by endometriosis are represented by the small bowel (in 2-16% of cases), appendix (3-18% of cases) and caecum (in 2-5% of cases). Symptoms of intestinal endometriosis may include abdominal pain, vomiting, diarrhea, constipation and hematochezia. Cecal endometriosis can present as acute appendicitis, intussusception, volvulus, chronic abdominal/pelvic pain or bowel obstruction In this case,we present a 36-year-old nulliparous woman who presented for diffuse abdominal pain and vomiting who was diagnosed with complete ileocecal obstruction due to a solid mass.
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