Laparoscopic diagnosis of endometriosis

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This retrospective review of 215 patients found that 38 women with confirmed endometriosis had a prior negative laparoscopy, suggesting potential diagnostic challenges in previous examinations.

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Abstract

OBJECTIVE: To consider and explain the possibility of difficulties in diagnosis of endometriosis at previous laparoscopy DESIGN: Retrospective patient record review. SETTING: The Endometriosis Care Centre of Australia and the private practices of authors. SAMPLE: Two hundred and fifteen patients with clinical evidence of endometriosis examined laparoscopically between March 1999 and May 2001. MAIN OUTCOME MEASURES: Confirmation of endometriosis by histological biopsy. RESULTS: Endometriosis was confirmed in 168 of the 215 women. Of these women 38 had a previous negative laparoscopy within 12 months of the current laparoscopy. CONCLUSIONS: It is possible that in some of the patients, who previously had a negative laparoscopy, endometriosis was not recognised. Possible reasons for difficulty in diagnosis have been identified and techniques to improve diagnosis suggested. This retrospective study was performed to consider and explain the possibility of difficulties in diagnosis of endometriosis at previous laparoscopy.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Female Female Humans Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Rectal Diseases Rectal Diseases Rectal Diseases Retrospective Studies Retrospective Studies

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (10)

Cited by (18)

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