Clinical Pattern and Spectrum of Atypical Endometriosis: A Series of 5 Cases

Nadia Shirazi, Ruchira Nautiyal, Rashmi Jindal
In: International Journal of Innovative Research in Medical Science · 2023 · vol. 8(03) , pp. 129–132 · doi:10.23958/ijirms/vol08-i03/1645 · W4327911898
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case series presents five atypical endometriosis presentations, emphasizing their unusual locations, co-existing pathologies, and the importance of preoperative radiology for accurate diagnosis and complete surgical removal.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper is a case series of five patients describing an atypical clinical pattern and spectrum of endometriosis, including unusual presentations and coexistence with other ovarian pathologies that are less commonly seen in practice. The authors provide background on endometriosis as extrauterine hormonally active endometrial glands and stroma that can cause cyclic bleeding, inflammation, fibrosis, and adhesions, and they note that typical sites include gastrointestinal and other extra-pelvic locations. A key emphasized finding is that preoperative radiology can support adequate clinical diagnosis and help enable complete surgical excision in these atypical cases, with the main limitation being the very small sample size inherent to a five-case series. This paper is centrally about endometriosis — it specifically presents a series describing atypical endometriosis presentations and associated ovarian co-pathologies.

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Abstract

Endometriosis refers to the extrauterine presence of hormonally active endometrial glands and stroma. This ectopic endometrial tissue exhibits cyclic bleeding, inflammation, fibrosis and leads to formation of adhesions. Endometriosis affects about 10% to 15% of women between 15 to 45 years of age. Clinical presentations vary from infertility, dysmenorrhoea, chronic pelvic pain, deep dyspareunia and even bleeding at external sites like the umbilicus. Besides involving fallopian tubes, bowel, liver, thorax, pericardium, pleura etc, the most commonly affected areas in the gastrointestinal tract are the descending colon, rectosigmoid, appendix, and ileo-caecum in descending order of frequency. This case series highlights some unusual presentations of endometriosis along with co-existence of other ovarian pathologies which are not frequently encountered in clinical practice. This series also highlights the role of preoperative radiology for an adequate clinical diagnosis and complete surgical excision.
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Abstract Endometriosis refers to the extrauterine presence of hormonally active endometrial glands and stroma. This ectopic endometrial tissue exhibits cyclic bleeding, inflammation, fibrosis and leads to formation of adhesions. Endometriosis affects about 10% to 15% of women between 15 to 45 years of age. Clinical presentations vary from infertility, dysmenorrhoea, chronic pelvic pain, deep dyspareunia and even bleeding at external sites like the umbilicus. Besides involving fallopian tubes, bowel, liver, thorax, pericardium, pleura etc, the most commonly affected areas in the gastrointestinal tract are the descending colon, rectosigmoid, appendix, and ileo-caecum in descending order of frequency. This case series highlights some unusual presentations of endometriosis along with co-existence of other ovarian pathologies which are not frequently encountered in clinical practice. This series also highlights the role of preoperative radiology for an adequate clinical diagnosis and complete surgical excision.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareuniainfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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