Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations

Catriona M. Douglas, C Douglas, O Rotimi
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2004 · vol. 24(7) , pp. 804–808 · doi:10.1080/01443610400009568 · PMID:15763794 · W2158642216
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This review of 34 extragenital endometriosis cases found an 8.9% prevalence, with most occurring outside the reproductive tract, often causing delayed diagnosis despite pain being the most common symptom.

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Abstract

The clinicopathological characteristics of 34 cases of extragenital endometriosis (mean age 33.74) presenting to surgeons over a 9-year period at Glasgow Royal Infirmary were reviewed. A total of 379 cases of endometriosis were diagnosed by histology during the period, giving an 8.9% prevalence of extragenital manifestations. Eleven (32.3%) cases were in the intestinal tract, two (5.9%) in the urinary tract and 21 (61.8%) were in other sites, including pfannenstial scar, inguinal canal, umbilicus and perineum; 52.9% presented to gynaecologists and mean time to diagnosis was 24.54 months (CI: 13.2 - 35.8). Pain was the most common presentation in 76.5% but this was cyclical, reported in only 41.2%. Palpable mass was found in 41.2%, especially in pfannenstial scar (26.5%), suggesting iatrogenic cause. Histology remains the cornerstone of diagnosis and several of the case histories describe delay and diagnostic confusion. Endometriosis is rarely fatal, but continues to challenge patients and clinicians in all specialities in presentation and diagnosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Adult Appendix Appendix Cicatrix Cicatrix Diagnosis, Differential Endometriosis Female Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Middle Aged Omentum Omentum Pain Perineum Perineum

Citation neighborhood

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Cited by (50)

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