Tubal Endometriosis Diagnosed within One Month after Menarche: A Case Report.

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This case report describes a 13-year-old girl who was diagnosed with right hematosalpinx and tubal endometriosis one month after menarche and following an appendectomy.

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This paper reports a clinical case of a 13-year-old nulligravida girl with continuous right lower abdominal pain, in whom an ovarian cyst found 1 month earlier was left untreated after an appendectomy. Menarche occurred 24 days before the current operation, and imaging and surgical findings led to a diagnosis of right hematosalpinx with peripheral tubal obstruction and a para-ovarian serous cyst; she underwent right salpingectomy with para-ovarian cyst resection, with normal-appearing ovaries and uterus on inspection. Histological examination confirmed hematosalpinx and tubal endometriosis, with the major limitation being that this is a single case report rather than systematic evidence. This paper is centrally about endometriosis — specifically diagnosing tubal endometriosis shortly after menarche in an adolescent.

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Abstract

A 13-year-old nulligravida girl, 158.5 cm in height and 76.0 kg in body weight, came to our department complaining of continuous right lower abdominal pain. One month earlier, an ovarian cyst in the right ovary, about 3 cm in diameter, was found when she underwent appendectomy at another hospital, but was left untreated. Menarche occurred at the age of 13 years and 1 month, which was after the appendectomy and 24 days before the present operation. Right hematosalpinx with peripheral obstruction and a para-ovarian serous cyst on the same side were diagnosed, and therefore right salpingectomy with para-ovarian cyst resection was performed. The bilateral ovaries and uterus were completely normal by inspection. The post operative histological examination confirmed hematosalpinx and revealed tubal endometriosis.
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Keywords

endometriosis, adolescent 1997 Volume 181 Issue 3 Pages 385-387 Details

Abstract

A 13-year-old nulligravida girl, 158.5 cm in height and 76.0 kg in body weight, came to our department complaining of continuous right lower abdominal pain. One month earlier, an ovarian cyst in the right ovary, about 3 cm in diameter, was found when she underwent appendectomy at another hospital, but was left untreated. Menarche occurred at the age of 13 years and 1 month, which was after the appendectomy and 24 days before the present operation. Right hematosalpinx with peripheral obstruction and a para-ovarian serous cyst on the same side were diagnosed, and therefore right salpingectomy with para-ovarian cyst resection was performed. The bilateral ovaries and uterus were completely normal by inspection. The post operative histological examination confirmed hematosalpinx and revealed tubal endometriosis. © 1997 Tohoku University Medical Press Favorites & Alerts Recently viewed articles - About this Journal The Tohoku Journal of Experimental Medicine (TJEM) was founded in 1920 by professors of Tohoku Imperial University, Medical School. The TJEM has been published continuously, except for the year of 1946 just after the World War II. The TJEM is open to original articles in all branches of medical sciences. The TJEM also covers the fields of disaster-prevention science, including earthquake archeology. - Submitted manuscripts will be screened for plagiarism with Similarity Check (https://www.crossref.org/services/similarity-check/). Announcements from publisher - Subscriptions Inland subscriptions should be sent to Tohoku University Medical Press, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, JAPAN. Subscriptions from abroad should be addressed to MARUZEN CO., LTD., EXPORT DEPARTMENT, Postal address: P.O.Box 75, Shinagawa, Tokyo 140-8799, JAPAN. e-mail: [email protected]

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Fallopian Tube Diseases Menarche Adolescent Endometriosis Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Female Humans Ovarian Cysts Ovarian Cysts Ovarian Cysts

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