A Rare Presentation of Endometriosis

Ramalingappa, A.; Reddy, Y Pooja

doi:10.1007/s13224-013-0378-2

Cited by 2 publications

(2 citation statements)

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“…Endometriosis is defined as the presence of endometrial tissue lesions or nodules that are similar to the endometrium but are present at sites outside the uterus [ 3 ]. Common sites of endometriosis include the ovaries, pelvic viscera and the peritoneum and the presentations can vary from a few minimal lesions on pelvic organs to massive endometric ovary cysts or even extensive adhesions involving subperitoneal spaces, intestinal system, and urinary system [ 4 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Rare cases of extrapelvic endometriosis may result from vascular or lymphatic dissemination of endometrial cells to many gynecologic and non gynecologic sites. It has been reported that endometriosis of the skin and soft tissue makes up about 3.5% of cases of extrapelvic endometriosis with a majority of such cases occurring in surgical scars following operations of the uterus [ 5 6 7 ].…”

Section: Discussionmentioning

confidence: 99%

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A rare case of post-hysterectomy vault site iatrogenic endometriosis

Choi

Kim

et al. 2015

Obstet Gynecol Sci

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A 45-year-old woman with a prior history of hysterectomy due to adenomyosis and leiomyomas was presented at our outpatient gynecology clinic 13 months later with sudden lower pelvic discomfort and vaginal bleeding symptoms. The patient underwent vaginal vault biopsy however diagnosis was still uncertain. Additional evaluation was required due to massive rebleeding incidents. After an emergent explorative laparoscopic operation with total excision of the vault, a diagnosis of vaginal vault endometriosis was made. Our theory is that a possible transplantation of endometrial cells during morcellation of the adenomyotic uterus which then may have progressed to iatrogenic endometriosis of the vaginal vault. Therefore, vault endometriosis must be considered in incidences of delayed massive bleeding occurring in post-hysterectomy patients when other diagnoses have been excluded.

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Section: Discussionmentioning

confidence: 99%