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INTRODUCTION: We report our experience involving a rare case of ileum endometriosis complicated with small bowel obstruction.

PRESENTATION OF CASE: 33 years old female patient, admitted to emergency service with abdominal pain, abdominal distension, and vomiting. Abdominal X-ray showed dilated small bowel loops. Computerized tomography scan showed dilated small intestine segments excepting last ileum loop, gastric distension, enlarged ovaries.