Endometriosis diagnosed by laparoscopy in adolescent girls

Emmert C, C. Emmert, D. Romann, Romann D, H.‐H. Riedel, H H Riedel, Riedel Hh
Archives of gynecology and obstetrics · 1998 · vol. 261(2) , pp. 89–93 · doi:10.1007/s004040050205 · PMID:9544374 · W2072944305
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Laparoscopy diagnosed endometriosis in 35.2% of 105 adolescent girls, with stage I being most common and lesions frequently involving the pouch of Douglas and uterosacral ligaments.

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This study examined 105 adolescent girls (mean age 17.3 years) who underwent laparoscopy/pelviscopy between 1996 and 1997 for indications including chronic or acute pelvic pain and right-sided lower abdominal pain. Endometriosis was diagnosed in 37 cases (35.2%), most commonly at endoscopic endometriosis classification (EEC) stage I (32.4%), and lesions involved one pelvic site/organ in 64.8% of cases, with the pouch of Douglas (64.8%), uterosacral ligaments (37.8%), and ovarian fossa (24.3%) being frequent locations; directed biopsies were positive in 42.8%. The authors report endocoagulation of lesions in 91.9% of cases, and they include age-associated differences across single-site versus multiple-site disease. This paper is centrally about endometriosis — laparoscopic diagnosis and lesion distribution/classification of endometriosis in adolescent girls.

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Abstract

105 adolescent girls with mean age of 17.3 (11-19) years had laparoscopy/pelviscopy between 1996 and 1997. In 37 cases, endometriosis was diagnosed (35.2%). The majority of the girls (32.4%) presented with endoscopic endometriosis classification (EEC) stage I. 2.8% of the girls had stage EEC II. The lesions involved one site or pelvic organ (64.8%) with a mean age of 18.7 (14-19) years. In 35.2% of cases, the lesions were at multiple sites with a mean age of 16.9 (11-19) years. Indications for laparoscopy included chronic or acute pelvic pain and right-sided lower abdominal pain. Endometriotic lesions were found in the pouch of Douglas (64.8%), uterosacral ligaments (37.8%), and ovarian fossa (24.3%), 42.8% of directed biopsies were positive. Endocoagulation of the endometriotic lesions was performed in 91.9% of cases.
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Abstract. 105 adolescent girls with mean age of 17.3 (11 – 19) years had laparoscopy/pelviscopy between 1996 and 1997. In 37 cases, endometriosis was diagnosed (35.2%). The majority of the girls (32.4%) presented with endoscopic endometriosis classification (EEC) stage I. 2.8% of the girls had stage EEC II. The lesions involved one site or pelvic organ (64.8%) with a mean age of 18.7 (14 – 19) years. In 35.2% of cases, the lesions were at multiple sites with a mean age of 16.9 (11 – 19) years. Indications for laparoscopy included chronic or acute pelvic pain and right-sided lower abdominal pain. Endometriotic lesions were found in the pouch of Douglas (64.8%), uterosacral ligaments (37.8%), and ovarian fossa (24.3%). 42.8% of directed biopsies were positive. Endocoagulation of the endometriotic lesions was performed in 91.9% of cases. Similar content being viewed by others Author information Authors and Affiliations Additional information Accepted: 30 September 1997 Rights and permissions About this article Cite this article Emmert, C., Romann, D. & Riedel, HH. Endometriosis diagnosed by laparoscopy in adolescent girls. Arch Gynecol Obstet 261, 89–93 (1998). https://doi.org/10.1007/s004040050205 Issue date: DOI: https://doi.org/10.1007/s004040050205

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Laparoscopy Adolescent Adult Child Endometriosis Endometriosis Endoscopy Female Humans Pelvic Pain

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