Liesegang rings in the female genital tract. A report of three cases

Clement PB, P B Clement, Philip B. Clement, Young RH, R H Young, Robert H. Young, R E Scully, Scully RE, Robert E. Scully
International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 1989 · doi:10.1097/00004347-198909000-00011 · PMID:2767875
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This report details three cases of Liesegang rings, previously observed only once, found within endometriotic cysts or fallopian tubes affected by chronic salpingitis in women aged 32-57.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-23 · read from full text ⓘ

This case report describes three instances of Liesegang rings found in the female genital tract, noting that only one similar case had been previously documented. The patients ranged from 32 to 57 years old and underwent surgery for ovarian endometriosis or uterine leiomyomas. Microscopic examination revealed eosinophilic, acellular ring-like structures confined to an endometriotic cyst or inflamed fallopian tube mucosa. The authors emphasize that these formations occur within cysts or areas of inflammation and must be distinguished from parasites or foreign material during histologic evaluation. Relevance to endometriosis: This paper is centrally about endometriosis, specifically describing Liesegang rings found within an endometriotic cyst as part of a case series involving ovarian endometriosis.

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Abstract

Three cases of Liesegang rings (LRs) within the female genital tract are reported; only one similar case has been previously documented. The patients were 32-57 years of age and underwent operations for ovarian endometriosis (two cases) and uterine leiomyomas (one case). Innumerable eosinophilic, acellular, ring-like structures, similar to previously described LRs, were found on microscopic examination and were confined to an endometriotic cyst (two cases) or the mucosa of a fallopian tube involved by chronic salpingitis (one case). Liesegang rings within the female genital tract, as in other sites, occur within cysts or within areas of inflammation. These structures have been confused with and should be distinguished from parasites and foreign material on histologic examination.
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Liesegang Rings in the Female Genital Tract. A Report of Three Cases - Philip B. Clement - Robert H. Young - Robert E. Scully Three cases of Liesegang rings (LRs) within the female genital tract are reported; only one similar case has been previously documented. The patients were 32–57 years of age and underwent operations for ovarian endo-metriosis (two cases) and uterine leiomyomas (one case). Innumerable eosin-ophilic, acellular, ring-like structures, similar to previously described LRs, were found on microscopic examination and were confined to an endometriotic cyst (two cases) or the mucosa of a fallopian tube involved by chronic salpin-gitis (one case). Liesegang rings within the female genital tract, as in other sites, occur within cysts or within areas of inflammation. These structures have been confused with and should be distinguished from parasites and foreign material on histologic examination.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ovarian Cysts Uterine Neoplasms Adult Endometriosis Extracellular Space Extracellular Space Fallopian Tubes Fallopian Tubes Female Humans Inflammation Inflammation Leiomyoma Leiomyoma Middle Aged Ovarian Cysts Uterine Neoplasms

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