Cystic endosalpingiosis presenting as chronic back pain, a case report

Andreas H. Scheel, J. Frasunek, W Meyer, Philipp Ströbel
In: Diagnostic Pathology · 2013 · vol. 8(1) , pp. 196 · doi:10.1186/1746-1596-8-196 · PMID:24299296 · PMC3924907 · W2144767136
article OA: gold CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details a 48-year-old woman whose chronic back pain was relieved by hysterectomy for extensive cystic endosalpingiosis discovered on her uterus and adnexa.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper is a case report of a 48-year-old woman with chronic back pain and inconclusive prior workups, who was found on gynecologic evaluation to have large cystic masses at the uterine fundus and left adnexa. Laparoscopy and histopathology of cysts covering the uterine serosa and adnexa identified cystic endosalpingiosis with single-layered prismatic, ciliated epithelium and no endometrial stroma; frozen sections ruled out neoplasia, and the patient underwent laparoscopic-assisted vaginal hysterectomy with rapid symptom relief. The authors note key limitations typical of case reports and emphasize that cystic endosalpingiosis is usually incidental, can mimic neoplasia, and symptom intensity is not directly related to extent. Relevance to endometriosis: the paper discusses endosalpingiosis and endometriosis as related ectopic-epithelium benign conditions with overlapping symptoms including chronic back pain, while focusing on cystic endosalpingiosis presenting as back pain.

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Abstract

A 48-year old woman presented with chronic back pain. Previous examinations had been inconclusive. Gynaecological examination revealed large cystic masses on the fundus uteri and left adnexa. Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides. After uneventful laparoscopic-assisted vaginal hysterectomy the patient quickly recovered and was relieved of her chronic backache. Virtual slides: http://www.diagnosticpathology.diagnomx.eu/vs/1501709091077524.

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