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Endometriosis is a benign condition that can presents as surgical emergency because of its complications. Intestinal endometriosis affects up to 37% of women with endometriosis and it is rare to manifest as an acute small bowel obstruction secondary to ileal endometriosis. Small bowel endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. We present the two cases of female patients with intestinal endometriosis who presented with symptoms and signs of an acute small bowel obstruction requiring emergency surgery. A small bowel resection was performed in those cases. Histopathological examination confirmed a diagnosis of endometriosis with fibrosis and stricture of the bowel segment. Endometriosis should be considered in the differential diagnosis of every woman of childbearing age who presents with abdominal symptoms. Clinicians should keep in mind this condition in cases of abdominal emergency in young female patients.
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