Muscular Endometriosis

In: Sports and Traumatology · 2017 · pp. 387–392 · doi:10.1007/978-3-319-43344-8_22 · W4246008896
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Muscular and subcutaneous endometriosis are common extra-pelvic manifestations, often found in the rectus abdominis but also other muscles, occurring spontaneously or after surgery.

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This paper describes ectopic endometriosis with proliferative activity and bleeding and/or fibrosis, focusing specifically on muscular and subcutaneous manifestations. It summarizes that muscular endometriosis can occur spontaneously in any muscle but is reported particularly in the anterior abdominal wall/rectus abdominis, and it may also arise secondarily to laparoscopic surgery; it notes that nearly all reported cases involve the parietal wall, with only limited exceptions. A stated limitation is that prevalence and metastasis rates in patients with pelvic endometriosis are not clearly described in the literature. This paper is centrally about endometriosis—specifically muscular and subcutaneous endometriosis manifestations and their anatomic patterns.

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Abstract

Ectopic endometriosis is the presence of endometrial tissue outside the uterine cavity with proliferative activity and bleeding and/or fibrosis. Its prevalence is estimated at 5–10 % of the general population, higher in Caucasian women 20–40 years old (Cornilie et al. Fertil Steril 53:978–983, 1990; Eskenasi et al. Obstet Gynecol Clin North Am 24:235–257, 1997). Muscular and subcutaneous endometriosis are the most frequent extra-pelvic manifestations of endometriosis; metastasis is possible but no prevalence has been clearly described in the literature on patients with pelvic endometriosis. Muscular endometriosis can be spontaneously present in any muscle but has been described particularly in the anterior abdominal wall, especially in the rectus abdominis (Calo et al. Ann Ital Chir, 2012). It can occur spontaneously or secondarily to laparoscopic surgery(Dallaudiere et al. Diagn Interv Imaging 94:263–280, 2013). However, in the literature, all but two cases reported endometriosis in the parietal wall, with one in the pyramidal muscle and one in the adductor compartment(Dominguez-Paez et al. Neurocirugia (Astur) 23:170–174, 2012; Fambrini et al. J Minim Invasive Gynecol 17:258–261, 2010). Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Cornilie F et al. Deeply infiltrating pelvic endometriosis: histology and clinical signifiance. Fertil Steril. 1990;53:978–83. Eskenasi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24:235–57. Calo PG, Ambu R et al. Rectus abdominis muscle endometriosis: report of two cases and review of the literature. Ann Ital Chir. 2012. Dallaudiere B, Rouanet JP, Maubon A. MRI atlas of ectopic endometriosis. Diagn Interv Imaging. 2013;94:263–80. Dominguez-Paez M, De Miguel-Pueyo LS, et al. Sciatica secondary to extrapelvic endometriosis affecting the piriformis muscle. Case report. Neurocirugia (Astur). 2012;23(4):170–4. Fambrini M, Andersson KL, et al. Large-muscle endometriosis involving the adductor tight compartment: case report. J Minim Invasive Gynecol. 2010;17(2):258–61. Fedele L, Parazzini F, Bianchi S, et al. Stage and localisation of pelvic endometriosis and pain. Fertil Steril. 1990;53:155–8. Rouanet JP, Filhastre M, Mares P, Maubon A. Anatomie IRM du pelvis féminin: Principales applications en pathologie gynécologique. Montpelli: Sauramps Medical; 2005. Bazot M, Darai E. Evaluation of pelvic endometriosis: the role of MRI. J Radiol. 2008;89:1695–6. AFSSAPS. Recommandations de bonne pratique, les traitements médicamenteux de l’endométriose génitale: recommandations. Déc 2005. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2017 Springer International Publishing AG About this chapter Cite this chapter Dallaudière, B., Pesquer, L. (2017). Muscular Endometriosis. In: Roger, B., Guermazi, A., Skaf, A. (eds) Muscle Injuries in Sport Athletes. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-43344-8_22 Download citation DOI: https://doi.org/10.1007/978-3-319-43344-8_22 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-43342-4 Online ISBN: 978-3-319-43344-8 eBook Packages: MedicineMedicine (R0)

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endometriosis

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