Peritoneal, Ovarian, and Rectovaginal Endometriosis are Three Different Entities

Jacques Donnez; Olivier Donnez; Jean‐Christophe Lousse; Jean Squifflet

doi:10.1002/9781444398519.ch9

Peritoneal, Ovarian, and Rectovaginal Endometriosis are Three Different Entities

Jacques Donnez, Olivier Donnez, Jean‐Christophe Lousse, Jean Squifflet

In: Endometriosis · 2011 · pp. 92–107 · doi:10.1002/9781444398519.ch9 · W1592291060

other OA: closed CC0 ⤵ 5 in-corpus citations

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Peritoneal endometriosis arises from transplantation, ovarian endometriosis from coelomic metaplasia, and rectovaginal endometriosis from müllerian remnant metaplasia, indicating distinct pathogenic mechanisms for each type.

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Abstract

Peritoneal, ovarian, and rectovaginal endometriosis are three different entities. Peritoneal endometriosis can be explained by the transplantation theory. Coelomic metaplasia of invaginated epithelial inclusions may be responsible for the development of ovarian endometriosis. The rectovaginal endometriotic lesion is an adenomyotic nodule whose histopathogenesis is not related to implantation of regurgitated endometrial cells, but to either metaplasia of müllerian remnants located in the rectovaginal septum or metaplasia of the retrocervical area.

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