[Extrauterine endometriosis: what interest for the general surgeon? Presentation of 3 clinical cases and review of the literature].

D Proposito, Delia Proposito, Paolo Negro, Francesco Gossetti, Di Paola M, Massimiliano Di Paola, L Montemurro, Leonardo Montemurro, Stefano Gallina, Sebastian Gallina, Salvatore Veltri, Valerio Corazza, Corazza, Carlo Brugiotti, Fabio Antonellis, Stefania Uccini, M Carboni, Manlio Carboni
Chirurgia italiana · 2003 · vol. 54(5) , pp. 699–708 · PMID:12469468 · W2400739730
article OA: closed CC0 ⤵ 9 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper presents three surgical cases of extragonadal endometriosis and reviews the literature, highlighting diagnostic challenges and the adequacy of surgical treatment for these rare presentations.

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Abstract

Extragonadal endometriosis is rarely diagnosed preoperatively for the variety of its localizations. Presentations to general surgeons may be atypical and pose diagnostic difficulty, mimicking other acute diseases. We report three cases treated with surgical operation. Case 1: a 28-year-old woman admitted for bowel obstruction due to coecal endometriosis, with appendix mucocele, peritoneal pseudomyxoma and ovarian endometrioma. The patient underwent right colectomy and right adnexectomy in the emergency setting. Case 2: a 31-year-old woman with endometriosis of the distal extraperitoneal portion of the round ligament presenting as an irreducible inguinal hernia. An operation was performed: the round ligament and a polycystic structure encompassing it were completely excised. Case 3: a 41-year-old woman, with umbilical endometriosis diagnosed by her gynaecologist, was admitted to our department for excision. Surgical treatment of extragonadal endometriosis is adequate. However, postoperative follow-up is mandatory and hormonal suppressive therapy may be indicated by the gynaecologist.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Adnexal Diseases Cecal Diseases Endometriosis Round Ligament of Uterus Round Ligament of Uterus Umbilicus Umbilicus Umbilicus Adnexal Diseases Adnexal Diseases Adnexal Diseases Adult Cecal Diseases Cecal Diseases Cecal Diseases Colectomy Emergencies Endometriosis Endometriosis Endometriosis

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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License: CC0 · commercial use OK