Endometriosis presenting as a vaginal mass

Nelson, Philippa

doi:10.1136/bcr-2017-222431

Cited by 6 publications

(8 citation statements)

References 7 publications

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“…However, while writing this case, an Australian case with a similar location of endometriosis has been reported. 5 That case presents a patient with uncomplicated vaginal deliveries but without a history of gynaecological surgeries in contrast to our case.…”

Section: Discussionmentioning

confidence: 49%

Atypical vaginal location of endometriosis following repeated urogynaecological surgery

et al. 2021

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We outline a case of vaginal endometriosis in scar tissue located in the distal part of the anterior vaginal wall close to the urethra following repeated urogynaecological surgery. Our case presents a 45-year-old woman diagnosed with pelvic endometriosis in her youth. She underwent several vaginal surgeries due to pelvic organ prolapse, symptoms of stress incontinence and decreased urinary flow. One year after her most recent vaginal surgery, she developed a tender lump in the lower part of the anterior vaginal wall. A urethral diverticulum was suspected, but a diagnostic puncture and biopsy unexpectedly showed histologically verified endometriosis. As the cyst recurred, surgical excision of all visible endometriosis tissue was performed. After 3 years of follow-up, the patient remained without recurrence. This case illustrates the risk of atypical implantation of endometriosis related to repeated urogynaecological surgery and that treatment requires surgery with thorough removal of all visible tissues.

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Section: Discussionmentioning

confidence: 49%

Atypical vaginal location of endometriosis following repeated urogynaecological surgery

et al. 2021

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“…In 2002, we reported one instance of malignancy in 15 patients who had bladder resection for endometriosis. 3 Vaginal endometriosis accounts for 0.02% of cases, 11 and usually present with intrinsic lesions, which can be easily seen on speculum examination and are usually found in the posterior fornix. The presence of vaginal or vulvar endometriotic lesions usually represents a secondary manifestation of pelvic disease.…”

Section: Discussionmentioning

confidence: 99%

“…Complete excision was performed with pathologic confirmation of endometriosis. Nelson 11 reported a case of 3 × 3 cm suburethral cyst causing discomfort with walking, dyspareunia, and urinary frequency. The lesion was excised and histologic evaluation was consistent with endometriotic cyst.…”

Section: Discussionmentioning

confidence: 99%

Suburethral Endometriosis as Clinical Finding of Extensive Disease

Nezhat¹,

Hincapié²,

Gojayev³

et al. 2022

CRSLS

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Objective: Endometriosis spreading to the vagina is rare, present in only 0.02% of women with symptomatic endometriosis. Suburethral lesion site is exceptional. In an extensive literature review only 4 cases of suburethral endometriosis were identified. Our objective is to present a case of primary vaginal suburethral endometriosis in a 31-year old patient who underwent laparoscopic evaluation and to perform a literature review on this topic. Methods and Procedures: Case report presentation based on information extracted from patient database. A review of literature with a Medline search using key words urethral endometriosis, suburethral endometriosis, or urethral diverticulum was undertaken. Results: This case report describes a case of a 31-year old female patient referred for severe pelvic pain, worsening during menstruation. On physical examination a 2 cm suburethral endometriotic lesion was found as the initial presentation. Her examination was also significant for enlarged, tender uterus and adnexa. Based on examination and imaging, adenomyosis and endometriosis were suspected. Surgical evaluation revealed extensive endometriosis with lymph node involvement at laparoscopic exploration. The review of literature revealed only 4 cases where suburethral endometriosis was previously identified. Conclusion: Primary vaginal suburethral endometriosis, although rare, could be an indication of extensive endometriosis. This case highlights the importance of careful clinical examination, surgical excision, and laparoscopic evaluation when identifying suburethral vaginal endometriotic lesions.

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“…During a woman's menstrual cycle, the endometrial glands and the stroma go through a series of modifications. Endometriosis is defined as the presence of tissue that is similar to the endometrium outside of the uterus (1,2). Endometriosis affects around 10 percent of women of reproductive age, but the real frequency cannot be ascertained since a conclusive diagnosis requires invasive surgery (1,2).…”

Section: Introductionmentioning

confidence: 99%

“…Endometriosis is defined as the presence of tissue that is similar to the endometrium outside of the uterus (1,2). Endometriosis affects around 10 percent of women of reproductive age, but the real frequency cannot be ascertained since a conclusive diagnosis requires invasive surgery (1,2). This illness induces discomfort in the pelvic region and infertility.…”

Section: Introductionmentioning

confidence: 99%

Anterior Vaginal Wall Endometrioma: Case Report

et al. 2022

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ABSTRACT A 46-year-old woman was referred to gynecology for the assessment and treatment of an anterior vaginal wall cyst. The preoperative physical examination and transvaginal USG of the pelvis were most consistent with the presence of a bladder cyst. Following the excision of the cyst wall, the patient was diagnosed with an endometrioma in the anterior part of the vagina. This case emphasizes difficulties in the identification of endometriosis in the vagina and other uncommon places, potential processes of disease progression, and recommended therapies.

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Endometriosis presenting as a vaginal mass

Cited by 6 publications

References 7 publications

Atypical vaginal location of endometriosis following repeated urogynaecological surgery

Atypical vaginal location of endometriosis following repeated urogynaecological surgery

Suburethral Endometriosis as Clinical Finding of Extensive Disease

Anterior Vaginal Wall Endometrioma: Case Report

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