Endosalpingiosis Presenting as Infraumbilical Mass- A Rare Case Report with Review of Literature

In: International Journal of Research and Innovation in Applied Science · 2025 · vol. 10(10) , pp. 1327–1330 · doi:10.51584/ijrias.2025.10100000116 · W4416203312
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Abstract

Background: Endosalpingiosis is an understudied gynaecological entity with limited research on it. Clinical significance of endosalpingiosis is not fully understood. Because of unfamiliar presentation, it can lead to misdiagnosis. Case Report:We present a case of endosalpingiosis in a 54 years old female patient presenting as infraumbilical mass with history of tubal ligation 30 years ago. Gross examination reveals a grey white to grey brown lesion of size 5 x 3.5 x 3cm, microscopy showing cystically dilated spaces lined by low columnar to cuboidal and attenuated epithelium with focal areas showing dystrophic calcification. Discussion: Endosalpingiosis is a rare benign diagnosis which presents at postmenopausal or older age with clinical presentation as abdominal pain, dysmenorrhea, pelvic discomfort, dysuria or hematuria. Conclusion: Endosalpingiosis is a rare and uncommon clinical entity. The definitive diagnosis is possible only with histopathological examination. It is important to rule out other comorbidities existing with endosalpingiosis.
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Abstract

Background: Endosalpingiosis is an understudied gynaecological entity with limited research on it. Clinical significance of endosalpingiosis is not fully understood. Because of unfamiliar presentation, it can lead to misdiagnosis. Case Report:We present a case of endosalpingiosis in a 54 years old female patient presenting as infraumbilical mass with history of tubal ligation 30 years ago. Gross examination reveals a grey white to grey brown lesion of size 5 x 3.5 x 3cm, microscopy showing cystically dilated spaces lined by low columnar to cuboidal and attenuated epithelium with focal areas showing dystrophic calcification.

Discussion

Endosalpingiosis is a rare benign diagnosis which presents at postmenopausal or older age with clinical presentation as abdominal pain, dysmenorrhea, pelvic discomfort, dysuria or hematuria.

Conclusion

Endosalpingiosis is a rare and uncommon clinical entity. The definitive diagnosis is possible only with histopathological examination. It is important to rule out other comorbidities existing with endosalpingiosis.

Keywords

Endosalpingiosis, Tubectomy scar, Histopathological examination Downloads

References

1. Heinig J, Gottschalk I, Cirkel U, Diallo R. Endosalpingiosis – anunderestimated cause of chronic pelvic pain or an accidental finding? A retrospective study of 16 cases. Eur J Obstet Gynecol Reprod Biol. 2002;103:75–8. [Google Scholar] [Crossref] 2. Ong, N.C.S., Maher, P.J., Pyman, J.M. et al. Endosalpingiosis, an unrecognized condition: report and literature review. Gynecol Surg 1, 11–14 (2004). https://doi.org/10.1007/s10397-003-0001-0 [Google Scholar] [Crossref] 3. L. Prentice, A. Stewart, S. Mohiuddin, N.P. Johnson What is endosalpingiosis? Fertil. Steril., 2012;98 (4), pp. 942-947 [Google Scholar] [Crossref] 4. M.H. Hesseling, R.L. De Wilde Endosalpingiosis in laparoscopy J. Am. Assoc. Gynecol. Laparosc., 2000;7 (2), pp. 215-219 [Google Scholar] [Crossref] 5. Liang JJ, Malpica A, Broaddus RR. Florid cysticendosalpingiosis presenting as an obstructive colon massmimicking malignancy: case report and literature review. JGastrointest Cancer. 2007;38:83–6. [Google Scholar] [Crossref] 6. Batt RE, Yeh J. Müllerianosis: four developmental (embryonic) mullerian diseases. Reprod Sci 2013; 20(9): 1030–1037 [Google Scholar] [Crossref] 7. R.K. Khangura, V.R. Katukuri, S.M. Lieblein, Z. Sharif, T. Anwar, Z. ZhangUnderstanding Endosalpingiosis [89]Obstet. Gynecol., 125 (2015), p. 35S [Google Scholar] [Crossref] Metrics Views & Downloads Similar Articles - Tribal Child Nutrition and Health in District of Sundargarh: A Public Health Review of ICDS Intervention - Knowledge, Attitudes and Practices Towards Prostate Cancer Screening Amongst Men Aged 40-60 Years in The Buea Health District: A Cross-Sectional Study - Compliance with JCI Protocols: A Focus on Employee Safety - Influence and Involvement of Teachers in Menstrual Hygiene Management of Female Secondary School Students in Kogi State, Nigeria - A Critical Evaluation of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in Bihar

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