Endométriose péritonéale : aspects typiques et atypiques

Michelle Nisolle, Bénédicte Paindaveine, Anne Bourdon, F Casanas, Jacques Donnez
In: Acta Endoscopica · 1992 · vol. 22(1) , pp. 15–23 · doi:10.1007/bf02963357 · W2286527403
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This paper describes typical blackish-blue peritoneal endometriosis lesions and atypical non-pigmented forms including white opacification, red lesions, glandular growths, and hypervascularization.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper describes typical and atypical laparoscopic appearances of peritoneal endometriosis, emphasizing that classic pigmented lesions are not the only presentation. It summarizes previously described non-pigmented peritoneal lesions reported since Jansen and Russell (1986), including white peritoneal opacifications, red flamelike lesions, glandular excrescences, subovarian adhesions, café-au-lait spots, circular peritoneal defects, petechiae, and hypervascularized areas. A key caveat is that the discussion is primarily descriptive and based on literature characterization rather than presenting new patient-based data or quantifying diagnostic performance. This paper is centrally about endometriosis — it focuses on typical versus atypical appearances of peritoneal endometriotic lesions.

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Abstract

Les lésions typiques d’endom étriose sont des lésions noirâtres ou bleutées. De nombreux aspects atypiques de l’endométriose péritonéale ont été décrits par Jansen et Russell en 1986. Ces lésions non pigmentées, péritonéales, sont l’opacification blanchâtre, les l ésions rouges en flammèche, les excroissances glandulaires, les adhérences subovariennes, les taches « café au lait », le defect péritonéal circulaire, les pétéchies et les zones d’hypervascularisation.
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Résumé Les lésions typiques d’endom étriose sont des lésions noirâtres ou bleutées. De nombreux aspects atypiques de l’endométriose péritonéale ont été décrits par Jansen et Russell en 1986. Ces lésions non pigmentées, péritonéales, sont l’opacification blanchâtre, les l ésions rouges en flammèche, les excroissances glandulaires, les adhérences subovariennes, les taches « café au lait », le defect péritonéal circulaire, les pétéchies et les zones d’hypervascularisation. Summary The typical endometriotic lesions are puckered black or bluish. Numerous subtle appearances of peritoneal endometriosis have been described by Jansen and Russel in 1986. These non pigmented endometriotic peritoneal lesions include the white opacifications of the peritoneum, the red flamelike lesions, the glandular excrescences, the subovarian adhesions, the yellow- brown patches, the circular peritoneal defect, areas of petechial peritoneum or with hypervascularization. Resumen Las lesiones tipicas de la endometriosis son lesiones negruzcas o azulosas. Los numerosos aspectos atipicos de la endometriosis peritoneal han sido descritos por Jansen y Russell en 1986. Estas lesiones no pigmentadas peritoneales, son la opacificación blanquecina, las lesiones rojas en en llama, las excrecencias glandulares, las adherencias sub- ovâricas, las manchas « caf é con leche », el defecto peritoneal circular, las petequias y las zonas de hipervascularización. Zusammenfassung Typisch für die Endométriose sind schwärzliche oder bläuliche Läsionen. Zahlreiche atypische Aspekte der Peritonealendometriose sind von Jansen und Russel 1986 beschrieben worden. Zu diesen nichtpigmentierten Erscheinungen gehören die weiβlichen und flammend geröteten Läsionen sowie drüsige Wucherungen, subovarielle Adhäsionen, Café au lait- Flecken, der zirkuläre peritoneale Defekt, Petechien und hypervaskularisierte Zonen. Riassunto Le lesioni tipiche dell’endometriosi sono di colorito nerasro o bluastro. Numerosi aspetti atipici dell’endometriosi sono stati descritti da Jansen e Russell nel 1986. Queste lesioni peritoneali non pigmentate sono le opacité biancastre, le lesioni rosse « a flimma », le escrescenze ghiandolari, le aderenze subovariche, le macchie « caffelatte », i difetti peritoneali circolari, le petecchie e le zone ipervascolari. L’identificazione di queste lesioni atipiche dovrebbe costituire l’obiettivo di ogni ginecologo poichè esse probabilmente costituiscono il primo stadio dell’endometriosi peritoneale. Références JANSEN R.P.S., RUSSELL P. - Nonpigmented endometriosis: clinical, laparoscopic and pathologic definition.Am J. Obstet. Gynecol., 1986,155, 1154. REDWINE D.B. - The distribution of endometriosis in the pelvis by age groups and fertility.Fertil. Steril., 1987,47, 173. STRIPLING M.C., MARTIN D.C., CHATMAN D.L., VANDER ZWAAG R., POSTON W.M. - Subtle appearance of pelvic endometriosis.Fertil. Steril., 1988,49, 427. MARTIN DC, HUBERT G.D., VANDER zwaag R., EL-ZEKY F. - Laparoscopic appearances of peritoneal endometriosis.Fertil. Steril., 1989,51, 63. CHATMAN D.L. - Pelvic peritoneal defects and endometriosis; Allen-Masters syndrome revisited.Fertil. Steril., 1981,36, 751. GOLDSTEIN D.P., De CHOLNOKY, EMANS S.J., LEVENTHAL J.M. - Laparoscopy in the diagnosis and management of pelvic pain in adolescents.J. Reprod. Med., 1980,24, 251. NISOLLE-POCHET M., CASANAS-ROUX F., DONNEZ J. - Histologie study of ovarian endometriosis after hormonal therapy.Fertil. Steril., 1988,49, 423. SAMPSON J.A. - Peritoneal endometriosis due to dissemination of endometrial tissue into the peritoneal cavity.Am. J. Obstet. Gynecol., 1927,14, 422. REDWINE D.B.- Age related evolution in color appearance of endometriosis.Fertil. Steril., 1987,46, 1062. PORTUONDO J.A., HERRAN C, ECHANOJAUREGUI A.D., RIEGO A.G. - Peritoneal flushing and biopsy in laparoscopically diagnosed endometriosis.Fertil. Steril., 1982,38, 538. MURPHY A.A., GREEN W.R., BOBBIE D., De LA CRUZ Z.C., ROCK J.A.- Unsuspected endometriosis documented by scanning electron microscopy in visually normal peritoneum.Fertil. Steril., 1986,46, 522. Donnez J. - Personal data, 1986. Donnez J., Nisolle M. - Appearance of peritoneal endometriosis. In Proc. of the IIIrd International Laser Surgery Symposium. Brussels, 1988. NISOLLE M., PAINDAVEINE B., BOURDON A., BERLIÈRE M., CASANAS-ROUX F., DONNEZ J. - Histologic study of peritoneal endometriosis in infertile women.Fertil. Steril., 1990,53, 984. VASQUEZ G., CORNILLIE F., BROSENS I.A. - Peritoneal endometriosis; scanning electron microscopy and histology of minimal pelvic endometriotic lesions.Fertil. Steril., 1984,42, 696. Author information Authors and Affiliations About this article Cite this article Nisolle, M., Paindaveine, B., Bourdon, A. et al. Endométriose péritonéale : aspects typiques et atypiques. Acta Endosc 22, 15–23 (1992). https://doi.org/10.1007/BF02963357 Issue date: DOI: https://doi.org/10.1007/BF02963357

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