Histogenesis of Peritoneal Endometriosis

Endometriosis most commonly affects areas of the pelvic peritoneum close to the ovaries: the uterosacral ligaments, the ovarian fossa peritoneum, and the peritoneum of the cul-de-sac. The diagnosis of peritoneal endometriosis at the time of laparoscopy is often made by observation of typically puckered black or bluish lesions, but there are also numerous subtle appearances of peritoneal endometriosis.1–4 These subtle lesions, frequently nonpigmented, were first diagnosed as endometriosis following confirmation by biopsy in 1986.1 Experience has led to more frequent identification of subtle lesions, which increased in various reports from 15% in 1986 to 65% in 1988.1–6 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

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