{"paper_id":"da0a2062-d92a-43d0-8589-aa6a5422ef45","body_text":"Résumé\nLes lésions typiques d’endom étriose sont des lésions noirâtres ou bleutées. De nombreux aspects atypiques de l’endométriose péritonéale ont été décrits par Jansen et Russell en 1986. Ces lésions non pigmentées, péritonéales, sont l’opacification blanchâtre, les l ésions rouges en flammèche, les excroissances glandulaires, les adhérences subovariennes, les taches « café au lait », le defect péritonéal circulaire, les pétéchies et les zones d’hypervascularisation.\nSummary\nThe typical endometriotic lesions are puckered black or bluish. Numerous subtle appearances of peritoneal endometriosis have been described by Jansen and Russel in 1986. These non pigmented endometriotic peritoneal lesions include the white opacifications of the peritoneum, the red flamelike lesions, the glandular excrescences, the subovarian adhesions, the yellow- brown patches, the circular peritoneal defect, areas of petechial peritoneum or with hypervascularization.\nResumen\nLas lesiones tipicas de la endometriosis son lesiones negruzcas o azulosas. Los numerosos aspectos atipicos de la endometriosis peritoneal han sido descritos por Jansen y Russell en 1986. Estas lesiones no pigmentadas peritoneales, son la opacificación blanquecina, las lesiones rojas en en llama, las excrecencias glandulares, las adherencias sub- ovâricas, las manchas « caf é con leche », el defecto peritoneal circular, las petequias y las zonas de hipervascularización.\nZusammenfassung\nTypisch für die Endométriose sind schwärzliche oder bläuliche Läsionen. Zahlreiche atypische Aspekte der Peritonealendometriose sind von Jansen und Russel 1986 beschrieben worden. Zu diesen nichtpigmentierten Erscheinungen gehören die weiβlichen und flammend geröteten Läsionen sowie drüsige Wucherungen, subovarielle Adhäsionen, Café au lait- Flecken, der zirkuläre peritoneale Defekt, Petechien und hypervaskularisierte Zonen.\nRiassunto\nLe lesioni tipiche dell’endometriosi sono di colorito nerasro o bluastro. Numerosi aspetti atipici dell’endometriosi sono stati descritti da Jansen e Russell nel 1986. Queste lesioni peritoneali non pigmentate sono le opacité biancastre, le lesioni rosse « a flimma », le escrescenze ghiandolari, le aderenze subovariche, le macchie « caffelatte », i difetti peritoneali circolari, le petecchie e le zone ipervascolari. L’identificazione di queste lesioni atipiche dovrebbe costituire l’obiettivo di ogni ginecologo poichè esse probabilmente costituiscono il primo stadio dell’endometriosi peritoneale.\nRéférences\nJANSEN R.P.S., RUSSELL P. - Nonpigmented endometriosis: clinical, laparoscopic and pathologic definition.Am J. Obstet. Gynecol., 1986,155, 1154.\nREDWINE D.B. - The distribution of endometriosis in the pelvis by age groups and fertility.Fertil. Steril., 1987,47, 173.\nSTRIPLING M.C., MARTIN D.C., CHATMAN D.L., VANDER ZWAAG R., POSTON W.M. - Subtle appearance of pelvic endometriosis.Fertil. Steril., 1988,49, 427.\nMARTIN DC, HUBERT G.D., VANDER zwaag R., EL-ZEKY F. - Laparoscopic appearances of peritoneal endometriosis.Fertil. Steril., 1989,51, 63.\nCHATMAN D.L. - Pelvic peritoneal defects and endometriosis; Allen-Masters syndrome revisited.Fertil. Steril., 1981,36, 751.\nGOLDSTEIN D.P., De CHOLNOKY, EMANS S.J., LEVENTHAL J.M. - Laparoscopy in the diagnosis and management of pelvic pain in adolescents.J. Reprod. Med., 1980,24, 251.\nNISOLLE-POCHET M., CASANAS-ROUX F., DONNEZ J. - Histologie study of ovarian endometriosis after hormonal therapy.Fertil. Steril., 1988,49, 423.\nSAMPSON J.A. - Peritoneal endometriosis due to dissemination of endometrial tissue into the peritoneal cavity.Am. J. Obstet. Gynecol., 1927,14, 422.\nREDWINE D.B.- Age related evolution in color appearance of endometriosis.Fertil. Steril., 1987,46, 1062.\nPORTUONDO J.A., HERRAN C, ECHANOJAUREGUI A.D., RIEGO A.G. - Peritoneal flushing and biopsy in laparoscopically diagnosed endometriosis.Fertil. Steril., 1982,38, 538.\nMURPHY A.A., GREEN W.R., BOBBIE D., De LA CRUZ Z.C., ROCK J.A.- Unsuspected endometriosis documented by scanning electron microscopy in visually normal peritoneum.Fertil. Steril., 1986,46, 522.\nDonnez J. - Personal data, 1986.\nDonnez J., Nisolle M. - Appearance of peritoneal endometriosis. In Proc. of the IIIrd International Laser Surgery Symposium. Brussels, 1988.\nNISOLLE M., PAINDAVEINE B., BOURDON A., BERLIÈRE M., CASANAS-ROUX F., DONNEZ J. - Histologic study of peritoneal endometriosis in infertile women.Fertil. Steril., 1990,53, 984.\nVASQUEZ G., CORNILLIE F., BROSENS I.A. - Peritoneal endometriosis; scanning electron microscopy and histology of minimal pelvic endometriotic lesions.Fertil. Steril., 1984,42, 696.\nAuthor information\nAuthors and Affiliations\nAbout this article\nCite this article\nNisolle, M., Paindaveine, B., Bourdon, A. et al. Endométriose péritonéale : aspects typiques et atypiques. Acta Endosc 22, 15–23 (1992). https://doi.org/10.1007/BF02963357\nIssue date:\nDOI: https://doi.org/10.1007/BF02963357","source_license":"CC0","license_restricted":false}