Various anatomic locations of surgically proven endometriosis: A single-center experience

Lee, Hyun Ju; Park, Ye Mi; Jee, Byung Chul; Kim, Yong Beom; Suh, Chang Suk

doi:10.5468/ogs.2015.58.1.53

Cited by 49 publications

(44 citation statements)

References 23 publications

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“…Other organs may also be affected, such as the liver, bowels, adrenal glands, lungs, kidneys, and brain. [4][5][6][7][8][9][10][11] Cases of endometriosis have been described in the surgical scar, cesarean section scar, episiotomy scar after vaginal delivery, or following procedures where there was contact with endometrial tissue, such as hysterotomy performed in the first midterm of pregnancy, hysterectomy, ectopic pregnancy and tubal ligation. 2,12,13 In these patients, the rate of occurrence of pelvic endometriosis is similar to that of other women, and is not regarded as a risk factor for the disease.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Yela

Trigo

Benetti‐Pinto

2017

Rev Bras Ginecol Obstet

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Keywords► abdominal wall endometriosis ► pelvic pain ► recurrence ► cesarean section scar AbstractPurpose To determine the clinical and epidemiological characteristics of abdominal wall endometriosis (AWE), as well as the rate and recurrence factors for the disease. Methods A retrospective study of 52 women with AWE was performed at Universidade Estadual de Campinas from 2004 to 2014. Of the 231 surgeries performed for the diagnosis of endometriosis, 52 women were found to have abdominal wall endometriosis (AWE). The frequencies, means and standard deviations of the clinical characteristics of these women were calculated, as well as the recurrence rate of AWE. To determine the risk factors for disease recurrence, Fisher's exact test was used. Results The mean age of the patients was 30.71 AE 5.91 years. The main clinical manifestations were pain (98%) and sensation of a mass (36.5%). We observed that 94% of these women had undergone at least 1 cesarean section, and 73% had used medication for the postoperative control of endometriosis. The lesion was most commonly located in the cesarean section scar (65%). The recurrence rate of the disease was of 26.9%. All 14 women who had relapsed had surgical margins compromised in the previous surgery. There was no correlation between recurrent AWE and a previous cesarean section (p ¼ 0.18), previous laparotomy (p ¼ 0.11), previous laparoscopy (p ¼ 0.12) and postoperative hormone therapy (p ¼ 0.51). Conclusion Women with previous cesarean sections with local pain or lumps should be investigated for AWE. The recurrence of AWE is high, especially when the first surgery is not appropriate and leaves compromised surgical margins. ResumoObjetivos Determinar as características clínicas e epidemiológicas da endometriose de parede, bem como sua taxa de recorrência e os fatores que levam a ela. Métodos Estudo retrospectivo, em que se avaliaram 52 mulheres com endometriose de parede na Universidade Estadual de Campinas no período de 2004 a 2014. Entre as

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Section: Introductionmentioning

confidence: 99%

Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Yela

Trigo

Benetti‐Pinto

2017

Rev Bras Ginecol Obstet

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“…However, increasing data from the literature has shown that its occurrence in postmenopausal women is quiet possible. The most commonly seen form of endometriosis is ovarian endometriomas, also known as “chocolate cysts” [ 5 ]. Endometriomas form 27.2% of ovarian masses in women older than 40 years old, and only 4.3% of the ovarian pathologies in the sixth decade of life [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Endometriosis can take one of either three forms: superficial peritoneal implants, ovarian endometriomas, and deep infiltrating endometriosis [ 4 ]. Ovarian endometriomas were found to be the most common form of endometriosis [ 5 ]. Extra-pelvic localizations of endometriomas, such as umbilical endometriomas (Villar’s node) are not rare and could be also encountered [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Free large sized intra-abdominal endometrioma in a postmenopausal woman: a case report

et al. 2020

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Background Endometriosis is an estrogen-dependent disease defined by the presence of endometrial glands and stroma out of the uterine cavity. Its prevalence is estimated to be 2–10% in reproductive aged women. Endometriosis occurrence is estimated to be 2.55% in postmenopausal patients due to the decreased levels of estrogen. Endometriosis can present in three different forms: superficial peritoneal implants, ovarian endometriomas, and deep infiltrating endometriosis. Ovarian endometriomas are the most common form of endometriosis. Even though endometriomas have been encountered in various localizations, a free abdominal endometrioma was only reported once in a premenopausal patient. Here, we are reporting the first case of a free large endometrioma in a postmenopausal patient. Case presentation A 67-year-old woman presented to the emergency department at our university hospital complaining of constipation and right flank pain. She suffered from uncontrolled primary hypertension and type 2 diabetes mellitus. On presentation, she was afebrile, hypertensive, and tachycardic. An abdominal CT scan revealed a large cystic mass measuring 17 × 26 cm in the anterior-posterior and transverse diameters respectively. The cyst caused bowel obstruction and right sided hydronephrosis. The patient underwent laparotomy and during the surgical exploration a large abdominal cyst adhered to the greater omentum was found. The cyst received plenteous blood supply from the greater omentum. The uterus and both ovaries were completely normal and didn’t have any connection to the cyst. An en-bloc cystectomy was performed successfully. The final histopathology report confirmed an abdominal endometrioma. The patient had an uneventful postoperative recovery. Conclusions Endometriomas might reach large sizes regardless of their location or the patient’s age. The close relation of free abdominal endometriomas with the greater omentum suggests that these were developed from endometriotic omental implants. Endometrioma is rare in postmenopausal women. However, it should be considered as a possible differential diagnosis at any age.

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“…Other associated symptoms include pain during periods (dysmenorrhoea) and/or sexual intercourse (dyspareunia), intermenstrual bleeding and infertility [ 4 ]. The most common sites for endometriotic lesions to establish are the ovaries and pelvic peritoneum, yet endometriotic lesions are also found in other sites such as the abdominal wall, fallopian tubes (FT), bowels, bladder, cervix and vagina [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Endometriosis and the Fallopian Tubes: Theories of Origin and Clinical Implications

Hill

Fakhreldin

Maclean

et al. 2020

JCM

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Endometriosis is a common, oestrogen driven chronic condition, where endometrium-like epithelial and stromal cells exist in ectopic sites. At present, no curative treatments are available and the existing evidence for disease progression is conflicting. The pathogenesis is still unknown and evidently complex, as mechanisms of initiation may depend on the anatomical distribution of endometriotic lesions. However, amongst the numerous theories and plethora of mechanisms, contributions of the fallopian tubes (FT) to endometriosis are rarely discussed. The FT are implicated in all endometriosis associated symptomatology and clinical consequences; they may contribute to the origin of endometriotic tissue, determine the sites for ectopic lesion establishment and act as conduits for the spread of proinflammatory media. Here, we examine the available evidence for the contribution of the human FT to the origin, pathogenesis and symptoms/clinical consequences of endometriosis. We also examine the broader topic linking endometriosis and the FT epithelium to the genesis of ovarian epithelial cancers. Further studies elucidating the distinct functional and phenotypical characteristics of FT mucosa may allow the development of novel treatment strategies for endometriosis that are potentially curative.

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Various anatomic locations of surgically proven endometriosis: A single-center experience

Cited by 49 publications

References 23 publications

Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Free large sized intra-abdominal endometrioma in a postmenopausal woman: a case report

Endometriosis and the Fallopian Tubes: Theories of Origin and Clinical Implications

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