The clinical implications of retroperitoneal endometriosis

Moore JG, J G Moore, Mark A. Binstock, Binstock MA, M A Binstock, Growdon WA, W A Growdon, William A. Growdon
American Journal of Obstetrics and Gynecology · 1988 · vol. 158(6) , pp. 1291–1298 · doi:10.1016/0002-9378(88)90359-6 · PMID:3381857 · W2042099825
article OA: closed CC0 ⤵ 29 in-corpus citations
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⚙ AI-generated summary by claude@2026-07, 2026-07-09 ⓘ

This paper reports on five patients with retroperitoneal endometriosis, highlighting diagnostic and therapeutic challenges and suggesting lymphatic spread as a likely pathogenesis due to the observed distribution and urinary/rectosigmoid involvement.

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Abstract

Over the past 10 years five patients with endometriosis involving only retroperitoneal structures in the pelvis without intraperitoneal involvement have been managed at the University of California-Los Angeles Hospital. These patients have presented difficult diagnostic and therapeutic problems. Moreover, this interesting but uncommon distribution of the disease has led to speculation concerning its pathogenesis. The substantial threat to the urinary tract and rectosigmoid colon is noted. Although a concurrent study at this hospital indicates a low incidence of endometriosis involving pelvic lymph nodes, it is quite apparent from the distribution of these instances of retroperitoneal involvement that its spread from the endometrium very likely takes place through pelvic lymphatics.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Retroperitoneal Neoplasms Adult Endometriosis Endometriosis Endometriosis Female Humans Lymphatic Metastasis Retroperitoneal Neoplasms Retroperitoneal Neoplasms Retroperitoneal Neoplasms

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.

References (24)

Cited by (29)

Source provenance

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License: CC0 · commercial use OK