{"paper_id":"af43f5d2-dfc2-4b73-972e-81c71edd04de","body_text":"Long way to diagnosis – case report of 23-year old patient with multifocal abdominal endometriosis\nDOI:\nhttps://doi.org/10.12775/JEHS.2023.27.01.007Keywords\nendometriosis, endometrium, chronic diseaseAbstract\nEndometriosis is a chronic gynaecological disease characterized by the presence of the uterine mucosa that functions in accordance with the menstrual cycle outside of its usual location. This disease significantly reduces the quality of life of women facing numerous ailments, most often pain, and may lead to reduced fertility.\nThe prevalence of endometriosis is difficult to determine due to the complexity and lengthy diagnosis. It is estimated that this disease occurs in 3-8% of women of reproductive age, and symptoms may also appear after menopause. It is worth noting that the relationship between the disease's severity and endometriosis symptoms is often not proportional.\nThe aim of the paper is to present a case report of a 23-year-old female patient with endometriosis, to differentiate the disease from irritable bowel syndrome and to draw attention to the problematic and lengthy diagnostic process due to the multitude of symptoms from various organs.\nMaterial and method: Study of an individual case of a patient and a review of scientific articles available in Google Scholar and a review of publicly available textbooks in the field of medicine.\nThe paper emphasizes the need to broaden the knowledge about endometriosis by specialists in many fields of medicine and points to the lack of quick, minimally invasive tests enabling efficient diagnosis of the disease.\nIncreasing the awareness of doctors including other specializations than gynaecology, organizing campaigns to increase awareness of the disease among women, which may contribute to earlier diagnosis of patients, earlier application of an effective treatment, and improvement of patients' quality of life.\nReferences\nSuszczyk D, Pawłowska A, Okła K, Parafiniuk K, Polak G, Kotarski J, Wertel I. Rola wybranych populacji komórek układu immunologicznego w patogenezie endometriozy. Current Gynecologic Oncology. 2018;16(3):167-176. DOI: 10.15557/CGO.2018.0020.\nCramer D, Missmer S. The epidemiology of endometriosis. Annals of the New York Academy of Sciences. 2002;955(1):11-22. DOI: 10.1111/j.1749-6632.2002.tb02761.x.\nMehedintu C, Plotogea MN, Ionescu S, Antonovici M. Endometriosis still a challenge. Journal of medicine and life. 2014;7(3):349-357.\nSkibińska M, Maksym RB. Podłoże autoimmunologiczne rozwoju endometriozy. Kwartalnik Naukowy Fides Et Ratio. 2020;43(3):373-378.\nSznurkowski J. Wieloczynnikowa analiza przebiegu endometriozy u kobiet leczonych w klinice ginekologii instytutu położnictwa i chorób kobiecych AMG, Rozprawa na stopień doktora nauk medycznych, Klinika Ginekologii Instytutu Położnictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku; Gdańsk 2005.\nZwierzyńska A, Gruszka J, Adamczyk-Gruszka O. The influence of nutrients on the increased risk of developing endometriosis. Journal of Education, Health and Sport. 2023;13(4):306-310.\nO’Sullivan M, Overton C. Symptom recognition key to diagnosing endometriosis. The Practitioner. 2018;262 (1813):13-18.\nKotarski J, Szyłło K. Endometrioza. W: Bręborowicz G, (red.). Położnictwo i Ginekologia. Wyd. 3. Warszawa: PZWL; 2021:121-129.\nBasta A, (red.). Stanowisko Zespołu Ekspertów Polskiego Towarzystwa Ginekologicznego dotyczące diagnostyki i metod leczenia endometriozy. [The statement of Polish Society’s Experts Group concerning diagnostics and methods of endometriosis treatment]. Ginekologia Polska. 2012;83:871-876.\nBal J, Sieradzka U, Pająk J, Gabryś MS. Obraz ultrasonograficzny oraz stężenie antygenu CA-125 a zaawansowanie endometriozy wg American Fertility Society – ocena zależności na podstawie materiału II Katedry i Kliniki Ginekologii i Położnictwa Akademii Medycznej we Wrocławiu. Ginekologia Praktyczna. 2008;2:34-37.\nDrews K, Barlik M, Łukaszewski T. Leczenie zachowawcze endometriozy-praca poglądowa.Ginekologia Polska. 2012;83:209-2013.\nDownloads\nPublished\nHow to Cite\nIssue\nSection\nLicense\nCopyright (c) 2023 Ewa Gacoń, Julita Zembala, Jakub Kucharski, Aldona Ząber, Brygida Zapała\nThis work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.\nThe periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0\nStats\nNumber of views and downloads: 1158\nNumber of citations: 0","source_license":"CC0","license_restricted":false}