‘Blood On The Tracks’ from corpora lutea to endometriomas*

P Vercellini, Paolo Vercellini, Edgardo Somigliana, E Somigliana, Paola Viganò, P Vigano, A Abbiati, Abbiati A, Annalisa Abbiati, Giussy Barbàra, G Barbara, Luigi Fedele, L Fedele
BJOG: An International Journal of Obstetrics & Gynaecology · 2009 · vol. 116(3) , pp. 366–371 · doi:10.1111/j.1471-0528.2008.02055.x · PMID:19187368 · W2017172690
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This study prospectively followed 109 women after endometrioma surgery and found that bleeding from a corpus luteum transitioned to an endometriotic cyst in 11 of 13 instances.

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Abstract

OBJECTIVE: To detect a direct transition from a haemorrhagic corpus luteum to an endometriotic cyst by serial transvaginal ultrasonographic scans. DESIGN: Prospective observational study. SETTING: An academic tertiary care and referral centre for women with endometriosis. POPULATION: One hundred and nine women younger than 40 years, with regular menstrual cycles, undergoing first-line surgery for endometriomas, and not wanting postoperative oral contraception. METHODS: Three-monthly transvaginal ultrasonography during the luteal phase for 2 years after surgery. MAIN OUTCOME MEASURE: Sonographic identification of progression from a haemorrhagic corpus luteum to a recurrent endometriotic cyst. RESULTS: A haemorrhagic corpus luteum was identified in 13 women. Serial ultrasonographic scans demonstrated transition to an endometriotic cyst in 11 (85%) instances and resorption in two. A unilateral endometriotic cyst without previous detection of a cystic corpus luteum was observed in 14 women. CONCLUSIONS: Bleeding from a corpus luteum appears to be a critical event in the development of endometriomas.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ovarian Cysts Uterine Hemorrhage Adult Corpus Luteum Endometriosis Endometriosis Endometriosis Female Humans Laparoscopy Luteal Phase Ovarian Cysts Ovarian Cysts Ovarian Cysts Prospective Studies Recurrence Ultrasonography Uterine Hemorrhage Uterine Hemorrhage

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Cited by (50)

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