Multifocal endometriosis

Ludmila Lozneanu, Delia Gabriela Ciobanu-Apostol, Raluca Bălan, Ioana Păvăleanu, Simona Eliza Giuşcă, Irina-Draga Căruntu, Cornelia Amălinei
In: Archive of Clinical Cases · 2016 · vol. 03(03) , pp. 105–114 · doi:10.22551/2016.12.0303.10078 · W4256211160
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the diagnosis and surgical management of multifocal endometriosis involving the rectosigmoid, left adnexa, and pericolic lymph nodes in a 34-year-old woman.

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Abstract

Endometriosis represents a complex entity, characterized by tissue located in ectopic sites, outside uterus, with the highest incidence in ovaries and peritoneum. We report a rare case, with multiple endometriotic foci, in a 34 year old woman. The patient presented with intestinal subocclusion syndrome, associated with pelvic and abdominal pain. The imagistic exploration identified two peritoneal and one left ovarian masses and the clinical exam detected a 48/22 mm Douglas pouch mass. The surgical treatment, by exploratory laparotomy, resulted in segmental resection of the rectosigmoid junction and left adnexectomy. The intraoperative frozen section consultation, followed by paraffin-embedded, routine and immunohistochemical staining, led to a rare diagnosis of multiple foci of endometriosis, involving left adnexa, colorectum, and pericolic lymph nodes, without any atypia or malignancy. The postoperative evolution had been favorable. According to the identification of multiple endometriotic foci in our case, the hypothesis of different etiopathogenic mechanisms involvement may be supported by our findings.

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Condition tags

endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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