A case of persistent endometriosis after total hysterectomy with both salpingo-oophorectomy managed by radiation therapy

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This case report describes successful management of persistent vaginal and sigmoid-colonic endometriosis, occurring after total hysterectomy with bilateral salpingo-oophorectomy, using therapeutic pelvic radiation.

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Abstract

Persistent endometriosis after total hysterectomy and both salpingo-oophorectomy (TH with BSO) is a rare condition and the etiology is uncertain. The exact incidence of persistent endometriosis after definitive surgery is not known. In addition, the treatment of persistent endometriosis after complete surgical excision is controversial. We report a case of persistent endometriosis with vaginal and sigmoid-colonic invasion after TH with BSO. The lesions were not responsive to hormonal therapy. The patient was managed successfully by therapeutic pelvic radiation.
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Abstract Persistent endometriosis after total hysterectomy and both salpingo-oophorectomy (TH with BSO) is a rare condition and the etiology is uncertain. The exact incidence of persistent endometriosis after definitive surgery is not known. In addition, the treatment of persistent endometriosis after complete surgical excision is controversial. We report a case of persistent endometriosis with vaginal and sigmoid-colonic invasion after TH with BSO. The lesions were not responsive to hormonal therapy. The patient was managed successfully by therapeutic pelvic radiation. Similar content being viewed by others Author information Authors and Affiliations Additional information Received: 26 October 2000 / Accepted: 12 December 2000 Rights and permissions About this article Cite this article Kim, KS., Moon, WS., Song, HW. et al. A case of persistent endometriosis after total hysterectomy with both salpingo-oophorectomy managed by radiation therapy. Arch Gynecol Obstet 265, 225–227 (2001). https://doi.org/10.1007/s004040000167 Issue date: DOI: https://doi.org/10.1007/s004040000167

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fallopian Tubes Hysterectomy Ovariectomy Adult Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Endometriosis Endometriosis Endometriosis Fallopian Tubes Female Humans Vaginal Diseases Vaginal Diseases Vaginal Diseases Vaginal Diseases

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