Distribution of endometriotic lesions in endometriosis stage IV supports the menstrual reflux theory and requires specific preoperative assessment and therapy

article OA: bronze CC0 ⤵ 50 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-08

Endometriotic lesions in stage IV endometriosis show a greater prevalence in the posterior pelvic compartment and left pelvis, supporting the menstrual reflux theory and necessitating specific preoperative assessment.

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Abstract

A detailed picture of the prevalence and distribution of abdomino-pelvic endometriosis in more that 1,500 cases of endometriosis stage IV is presented. A great prevalence of endometriotic localizations in the posterior pelvic compartment compared to the other quadrants with more frequently observed lesions on the left part of the pelvis supports the menstrual reflux theory. The extent of anatomical sites suggests the opportunity to plan a proper preoperative instrumental study for patients with clinical suspect of severe endometriosis possibly to set a multidisciplinary clinical or surgical management.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Menstruation Disturbances Menstruation Disturbances Endometriosis Female Humans Menstruation Disturbances Menstruation Disturbances

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (21)

Cited by (50)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:16:54.825375+00:00
License: CC0 · commercial use OK