Endometriosis can cause gastric obstruction

Endometriosis can cause gastric obstruction and should be considered in the differential diagnosis, especially in women with a history of endometriosis.Endoscopic biopsy may miss the diagnosis due to the submucosal nature of gastric endometriosis.Endoscopic ultrasound-guided fine-needle aspiration or laparoscopic biopsy should be considered before proceeding with major surgery.A trial of medical therapy, such as hormonal suppression, may be an option in some cases before considering surgical intervention.