Endometriosis in association with uterine anomaly

Sanfilippo, Joseph S.; Wakim, Najib G.; Schikler, Kenneth N.; Yussman, Marvin A.

doi:10.1016/0002-9378(86)90389-3

Cited by 233 publications

(87 citation statements)

References 11 publications

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“…Once the outflow tract obstruction has been corrected, the endometriosis also resolves without further treatment. 27 Our case highlights the importance of ruling out an obstructive congenital anomaly in an adolescent presenting with chronic pelvic pain and suspected endometrioma, as this population would benefit from early surgical intervention. There should be a low threshold for obtaining additional preoperative imaging, such as magnetic resonance imaging (MRI) or 3-dimensional ultrasonography, as these modalities are highly sensitive and specific for the diagnosis of müllerian anomaly.…”

Section: Discussionmentioning

confidence: 80%

Laparoscopic Hemihysterectomy for Uterus Didelphys Following Laparotomy

Zhang

AbdelHafez

Liu

2015

CRSLS

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Section: Discussionmentioning

confidence: 80%

Laparoscopic Hemihysterectomy for Uterus Didelphys Following Laparotomy

Zhang

AbdelHafez

Liu

2015

CRSLS

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“…1 Uterine malformations occur in approximately 0.1% to 3% of all women. 2,3 However, in the subgroup of women with recurrent pregnancy loss, this number is considerably higher, approaching 10% to 15%. Counseling of this patient regarding the pregnancy outcome was based on the MRI diagnosis of a uterus bicornis bicollis.…”

Section: Discussionmentioning

confidence: 99%

Quadruplet Pregnancy

Monteagudo

Strok²,

Greenidge³

et al. 2004

J of Ultrasound Medicine

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ver the last decade, as both assisted reproductive technologies and diagnostic imaging techniques have improved, a greater number of unusual pregnancies have been documented. Quadruplet pregnancies are no longer a rare event in busy perinatal centers. However, this case report is unusual because the quadruplet pregnancy consisted of a pair of dichorionic/ diamniotic twins, each in a horn of an anomalous uterus (septate-complete, with 2 cervices and an upper vaginal septum). Three-dimensional (3D) sonography was used to evaluate the location of the fetuses within the uterine horns. To our knowledge, no identical or similar case was reported in the literature, as reviewed by us in a PubMed search. Case ReportA 32-year-old woman, gravida 3, para 0020, with a history of a uterus bicornis bicollis came to our unit at 10 weeks 3 days postmenstrually for evaluation of her multifetal pregnancy. This pregnancy was the result of ovulation induction with artificial intrauterine insemination. Her obstetric history was notable for 2 cervices and a small upper vaginal septum diagnosed clinically in 1996. A hysterosalpingogram revealed a uterus didelphys with the left uterine horn appearing larger than the right. In 1997, she had a naturally conceived pregnancy in the left uterine horn that resulted in a spontaneous abortion at 8 postmenstrual weeks. Magnetic resonance imaging (MRI) in 2001 showed a complete uterine duplication consistent with a bicornis bicollis uterus. Subsequently in 2002, she had a pregnancy, also in the left side, as a result of artificial insemination, which resulted in a spontaneous abortion at 5 postmenstrual weeks.

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“…Patients with mullerian anomalies and obstructed menstrual flow through the vagina may have an increased risk of endometriosis [10,11]. The anatomic distribution of endometriosis also provides evidence for Sampson's theory.…”

Section: Implantation Theorymentioning

confidence: 94%

Pathogenesis of Endometriosis

Witz¹

2002

Gynecol Obstet Invest

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Various theories have been promulgated to explain the pathogenesis of endometriosis. Interest in the genesis of the endometriotic lesion has been a focus since the earliest investigations. More recently, investigators have addressed aspects of the immune system and local peritoneal factors that may be involved with both the histogenesis of endometriosis as well as its sequelae. This review will consider evidence for different theories of histogenesis and will discuss our current understanding of the contribution of the immune system to the etiology of endometriosis. Data will be presented regarding recently described models of the early endometriotic lesion. The interaction of endometrial cells with the peritoneal mesothelium seems critical to our understanding the formation of the early endometriotic lesion. Evidence of rapid transmesothelial migration and invasion of the peritoneum will be considered. As well, candidate adhesion molecules that may facilitate the initial binding of endometrium to the peritoneum will be discussed.

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Endometriosis in association with uterine anomaly

Cited by 233 publications

References 11 publications

Laparoscopic Hemihysterectomy for Uterus Didelphys Following Laparotomy

Laparoscopic Hemihysterectomy for Uterus Didelphys Following Laparotomy

Quadruplet Pregnancy

Pathogenesis of Endometriosis

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