Endometriosis is presence of functioning endometrial glands and or stroma in sites other than uterine cavity.

GI involvement of endometriosis has been found in 3–37% of women of which Postmenopausal intestinal endometriosis is rare and incidence is only 2–5% of which only 0.1–0.7% cases had presented with acute intestinal obstruction.

We report a rare series of two cases in post–hysterectomy women presented with an acute presentation of large bowel obstruction due to intestinal endometriosis which highlights the dilemmas of preoperative diagnosis