Obstetrics and gynecology

Splenosis, the autotransplantation of splenic tissue following traumatic rupture of the spleen, can mimic endometriosis when discovered at laparotomy. The splenic implants are usually widespread throughout the peritoneal cavity. The differe…

Seventeen patients treated with clomiphene citrate were examined using real-time ultrasound timing 28 ovulatory cycles to determine the pattern of follicular development under clomiphene stimulation. The rate of growth was faster, but the f…

Danazol was administered in a daily dose of 100, 200, 400, or 600 mg for 6 months in a double-blind fashion to 27 women with pelvic endometriosis. Symptoms and pelvic findings were observed and recorded monthly. Laparoscopy and laparoscopic…

Massive ascites associated with pelvic endometriosis is an unusual occurrence. Two cases recently encountered by the authors are presented, and 7 additional cases from the literature are reviewed. Clinical courses and operative findings are…

Forty women who had undergone previous abdominal surgical procedures were evaluated by open laparoscopy with a simple technique that required no special instrumentation. Gynecologic problems included infertility, suspected endometriosis and…

Subsequent to the recognition of the intraperitoneal tumors of low malignant potential, clinicians have repeatedly faced the ambiguities inherent in a disease that seems aggressive on the basis of its wide distribution in the peritoneal cav…

Successful medical therapy of ureteral obstruction secondary to pelvic endometriosis has not previously been documented by roentgenography. Reversal of ureteral obstruction by progestin therapy is reported in a patient with laparotomy-prove…

Blood in the peritoneal dialysis catheter just before menstruation was regularly observed in 9 of 11 premenopausal women maintained on peritoneal dialysis for end-stage renal failure. Peritoneal bleeding at other times during the menstrual …

An unusual case is presented of pulmonary endometriosis characterized by cyclic hemoptysis. The literature associated with thoracic endometriosis is briefly reviewed. This case is the first reported cure of catamenial hemoptysis with the an…

A review of 2 cases of 46,XY pure gonadal dysgenesis (Swyer's syndrome) is presented. In one, bilateral gonadoblastomas with dysgerminomas were found at the time of laparotomy for gonadal extirpation. The second case was of interest because…

Danazol is a synthetic steroid with antigonadotropic properties useful in treating endometriosis, especially in young infertile women. Prior to its availability for clinical use in September 1976, thyroid function studies other than thyroid…

A review of 389 primary adenocarcinomas of the uterine cervix was conducted at the Armed Forces Institute of Pathology. After histologic classification, each was evaluated for the presence of squamous dysplasia and carcinoma in situ. Squamo…

Endosalpingiosis is defined as ectopic tubal epithelium and is considered homologous with endometriosis. In its usual form, the lesion is asymptomatic and has no serious prognostic associations. Recognition of endosalpingiosis, however, is …

A 31-year-old woman developed unilateral endometriosis at the site of ovarian implantation to a uterine window. This complication of the Estes procedure resembles the experimental endometriosis induced in rhesus monkeys by causing intraabdo…

Knowledge of gland-like inclusions in pelvic lymph nodes has existed since 1897. The histogeneses proposed to explain such alterations have included congenital rests, endometriosis, metastatic neoplasia, and mesothelial metaplasia. The corr…

Clinicopathologic finding are presented from 17 cases of scar endometriosis studied over a 5-year period. Multiparous women in the third decade of life were most frequently affected. Seventy-one percent of the cases followed abdominal hyste…

One hundred ninety-four cases of ovarian endometriosis, encountered during a 3-year period, were studied. In addition to endometrial-type epithelium and stroma that were present in each of these cases, oviduct-type epithelium was demonstrat…

From 1958 to 1967, a prospective randomized trial was conducted in 189 women with stage I, group I endometrial adenocarcinoma, comparing treatment by hysterectomy alone, preoperative uterine radium followed by hysterectomy, and hysterectomy…

Four cases are presented of ovarian endometrial cyst formation associated with the use of clomiphene citrate therapy for oligo-ovulation and infertility. All required surgical intervention. Clomiphene citrate should be used with caution in …

Danazol is widely used in the management of endometriosis and mammary dysplasia. However, its mechanism of action is still obscure because of the few studies done and the controversial results obtained. Antigonadotropic activity has been po…

A material consisting of 23 endometrioid ovarian carcinomas, including 2 rare endometrioid tumors with argyrophil cells, was analyzed clinically and with the use of various histochemical staining methods. Electron microscopy was performed i…

A case is presented of abdominal wall endometriosis following amniocentesis. A discussion of this unusual phenomenon is included.