Double trouble: pelvic pain associated with a dual presentation of endometriosis and granulomatous peritonitis
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A patient with chronic pelvic pain presented with endometriotic lesions on laparoscopy, but pathology revealed both endometriosis and granulomas, necessitating further investigation for potential mycobacterial exposure.
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Abstract
A 34-year-old patient presented to our office with chronic pelvic pain. Prior laparoscopic surgery revealed endometriotic appearing lesions which were ablated. The patient opted for another surgery to diagnose and treat potential leftover endometriosis. Laparoscopy revealed the presence of endometriotic appearing lesions, but pathology revealed two different histological diagnosis: endometriosis and granulomas, even in areas where no endometriosis was encountered. In any granulomatous presentation, exposure to mycobacteria must be ruled out. Without excision of abnormal appearing lesions seen on laparoscopy, endometriosis can not be confirmed and other potential causes of pain cannot be excluded.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (4)
- Endometriosis - Morphology, clinical presentations and molecular pathology 2010
- Laparoscopic Excision of Lesions Suggestive of Endometriosis or Otherwise Atypical in Appearance: Relationship Between Visual Findings and Final Histologic Diagnosis 2008
- Coexisting genital tuberculosis and endometriosis presenting as abdominal mass in an infertile woman: a report of a rare case 2007
- Concomitant female genital tuberculosis and endometriosis 2017
References (8)
- Coexisting genital tuberculosis and endometriosis presenting as abdominal mass in an infertile woman: a report of a rare case via openalex
- Concomitant female genital tuberculosis and endometriosis via openalex
- Endometriosis - Morphology, clinical presentations and molecular pathology via openalex
- Laparoscopic Excision of Lesions Suggestive of Endometriosis or Otherwise Atypical in Appearance: Relationship Between Visual Findings and Final Histologic Diagnosis via openalex
- W4246040275 via openalex
- W2046381495 via openalex
- W2532520615 via openalex
- W3012325760 via openalex
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