Pelvic Endometriosis

In: Pathology of the Female Genital Tract · 1977 · pp. 404–419 · doi:10.1007/978-1-4757-6143-6_22 · W4245808277
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Endometrium is found in ectopic sites outside the uterus, with locations including the rectum, colon, small intestine, urinary bladder, kidney, and pleura.

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This chapter by Blaustein reviews the pathology of endometriosis, defining it as the presence of ectopic endometrial tissue in various extrauterine sites. The text outlines the frequency of involvement across different anatomical locations and references historical theories regarding pathogenesis, such as Sampson’s implantation theory and Javert’s metastatic hypothesis. It also discusses clinical manifestations including obstructive lesions of the bowel and rare occurrences in distant sites like the pleura or limbs. This paper is centrally about endometriosis — specifically the pathological classification and historical understanding of pelvic endometriotic implants.

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Abstract

Endometrium, the normal lining mucosa of the uterus, is found in a variety of ectopic sites (Figures 22.1 and 22.2).9,20,21,42–45 Some of the extrauterine locations in which it has been found include (in order of frequency): Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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DAMA 104: 1401, 1935. Henricksen, E. Endometriosis. Am. J. Surg. 90: 331, 1955. Israel, S. L. Menstrual Disorders and Sterility. 5th ed. New York, Hoeber Medical Division, Harper and Row, 1967. Ivanoff, N. S. K Voprosu ob adenomiomakh matki (Thesis). St. Petersburg K 897, 1907. Javert, C. T. Pathogenesis of endometriosis based upon endometrial homeoplasia, direct extension, exfoliation, and implantation: Lymphocytic and hematogenous metastasis (including 5 case reports of endometrial tissue in pelvic lymph nodes). Cancer 2: 399, 1949. Javert, C. T. Observations on the pathology and spread of endometriosis based on the theory of benign metastasis. Am. J. Obstet. Gynecol. 62 (3): 477, 1951. Jenkinson, E. L., and Brown, W. H. Endometriosis: A study of 117 cases with special reference to constricting lesions of the rectum and sigmoid colon. JAMA 122: 349, 1943. Jimenz, M., and Miles, R. M. Inguinal endometriosis. Ann. Surg. 151: 193, 1960. Keene, F. E. Perforating ovarian cysts (Sampson’s) with invasion of the bladder wall, report of two cases. Am. J. Obstet. Gynecol. 10: 619, 1925. Kistner, R. W. Infertility with endometriosis: Plan of therapy. Fertil. Steril. 13: 237, 1962. Kistner, R. W. Principles of Gynecology. Chicago, Year Book, 1964. Macafee, C. H. G., and Greer, H. L. H. Intestinal endometriosis. J. Obstet. Gynaecol. Br. Commonw. 67: 538, 1960. Mankin, Z. W. Beitrage zur Histogeneses der Endometriome mit Hinweis auf eine besonders selten vorkommende Lokalisation in mittleren Oberschenkeldrittel. Arch. f. Gynak. 159: 671, 1935. Mankin, Z. W. Beitrage zur histogeneses der Endometriome mit Hinweis auf eine besonders selten vorkommende Lokalisation in mittleren Oberschenkeldrittel. Arch. f. Gynak. 159: 671, 1935. Marshall, V. F. The occurrence of endometrial tissue in the kidney; case report and discussion. J. Urol. 50: 652, 1943. McKittrick, L. S. Discussion of Cattell’s paper. N. Engl. J. Med. 217: 16, 1937. Melody, G. F. Endometriosis causing obstruction of the ileum. Obstet. Gynecol. 8: 468, 1956. Novak, E. Pelvic endometriosis. Spontaneous rupture of endometrial cysts, with a report of three cases. Am. J. Obstet. Gynecol. 22: 826, 1931. Rio, F. W., Edwards, D. L., Regan, J. F., and Schmutzer, K. J. Endometriosis of the small bowel. Arch. Surg. 101: 403, 1970. Ripstein, C. B., Rohman, M., and Wallach, J. B. Endometriosis involving the pleura. J. Thoracic Surg. 37: 464, 1959. Sampson, J. A. Perforating hemorrhagic (chocolate) cysts of the ovary; their importance and especially their relation to pelvic adenomas of endometrial type (“adenomyoma” of the uterus, rectovaginal septum, sigmoid, etc.). Arch. Surg. 3: 245, 1921. Sampson, J. A. Intestinal adenomas of endometrial type. Arch. Surg. 5: 217, 1922. Sampson, J. A. The life history of ovarian hematomas (hemorrhagic cysts) of endometrial (Mullerian) type. Am. J. Obstet. Gynecol. 4: 451, 1922. Sampson, J. A. Ovarian hematomas of endometrial type (perforating hemorrhagic cysts of the ovary) and implantation adenomas of endometrial type. Boston M. and S. J. 186: 445, 1922. Sampson, J. A. Benign and malignant endometrial implants in the peritoneal cavity and their relation to certain ovarian tumors. Surg. Gynecol. Obstet. 38: 287, 1924. Sampson, J. A. Endometrial carcinoma of the ovary, arising in endometrial tissue in that organ. Arch. Surg. 10: 1, 1925. Sampson, J. A. Heterotopic or misplaced endometrial tissue. Am. J. Obstet. Gynecol. 10:649, disc. 730–738, 1925. Sampson, J. A. Inguinal endometriosis (often reported as endometrial tissue in groin, adenomyoma in groin and adenomyoma of round ligament). Am. J. Obstet. Gynecol. 10: 462, 1925. Sampson, J. A. Metastatic or embolic endometriosis, due to menstrual dissemination of endometrial tissue into the venous circulation. Am. J. Pathol. 3: 93, 1927. Sampson, J. A. Peritoneal endometriosis due to menstrual dissemination of endometrial tissue into the peritoneal cavity. Am. J. Obstet. Gynecol. 14: 422, 1927. Sampson, J. A. Development of the implantation theory for origin of peritoneal endometriosis. Am. J. Obstet. Gynecol. 40: 549, 1940. Sampson, J. A. Pathogenesis of postsalpingectomy endometriosis in laparotomy scars. Am. J. Obstet. Gynecol. 50: 597, 1945. Senapati, M. D. Endometriosis of the appendix. Br. J. Surg. 4: 330, 1953. von Recklinghausen, F. Ueber die venose Embolic und den regrograden Transport in den Venen und in den Lymphgefassen. Virchows Arch. [Pathol. Anat.] 100: 503, 1885. Editor information Editors and Affiliations Rights and permissions Copyright information © 1977 Springer Science+Business Media New York About this chapter Cite this chapter Blaustein, A. (1977). Pelvic Endometriosis. In: Blaustein, A. (eds) Pathology of the Female Genital Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-6143-6_22 Download citation DOI: https://doi.org/10.1007/978-1-4757-6143-6_22 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4757-6145-0 Online ISBN: 978-1-4757-6143-6 eBook Packages: Springer Book Archive

Keywords

- Endometrial Tissue - Pathologic Alteration - Endometrioid Carcinoma - Rectovaginal Septum - Pelvic Endometriosis These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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