Obstet Gynecol Sci.  2015 Jan;58(1):53-58. 10.5468/ogs.2015.58.1.53.

Various anatomic locations of surgically proven endometriosis: A single-center experience

Affiliations
  • 1Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.
  • 2Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea. blasto@snubh.org
  • 3Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVE
To report the various anatomic locations of surgically and pathologically proven endometriosis.
METHODS
Pathologic reports (n=1,376) of women who underwent surgeries at a single center between April 2005 and March 2013 were retrieved from the electronic medical record system of the hospital. Pathologic reports were included after performing a search by using the key-words "endometrial cyst," "endometriotic cyst," "endometriosis," or "endometrioma." Only reports dealing with female patients were selected, and the pathologic reports of 1,350 women (1,374 surgery cases) were included in the analysis.
RESULTS
The predominant location of endometriosis was the ovaries (96.4%), followed by the soft tissue (2.8%), gastrointestinal tract (0.3%) and urinary tract (0.2%). Laparoscopic surgery was the major surgical technique used for the pelvic endometriosis (89.2%). Adrenal gland endometriosis was found in a 55-year-old woman.
CONCLUSION
We established the various anatomic locations of surgically and pathologically proven endometriosis in Korean women.

Keyword

Anatomic variation; Endometriosis; Gastrointestinal tract; Ovary; Urinary tract

MeSH Terms

Adrenal Glands
Anatomic Variation
Electronic Health Records
Endometriosis*
Female
Gastrointestinal Tract
Humans
Laparoscopy
Middle Aged
Ovary
Urinary Tract

Figure

  • Fig. 1 Representative computed tomography images showing an approximately 13-cm hemorrhagic cyst, which was proven to be an endometrioma, arising in the adrenal gland in a 55-year-old woman. (A) Coronal view and (B) axial view.


Reference

1. Dmowski WP, Lesniewicz R, Rana N, Pepping P, Noursalehi M. Changing trends in the diagnosis of endometriosis: a comparative study of women with pelvic endometriosis presenting with chronic pelvic pain or infertility. Fertil Steril. 1997; 67:238–243.
2. Sonavane SK, Kantawala KP, Menias CO. Beyond the boundaries-endometriosis: typical and atypical locations. Curr Probl Diagn Radiol. 2011; 40:219–232.
3. Chapron C, Fauconnier A, Vieira M, Barakat H, Dousset B, Pansini V, et al. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod. 2003; 18:157–161.
4. Dai Y, Leng JH, Lang JH, Li XY, Zhang JJ. Anatomical distribution of pelvic deep infiltrating endometriosis and its relationship with pain symptoms. Chin Med J (Engl). 2012; 125:209–213.
5. Redwine DB, Wright JT. Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection. Fertil Steril. 2001; 76:358–365.
6. Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, et al. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 1995; 82:1349–1351.
7. Lee SE, Jeong JE, Joo JK, Lee KS. Clinicopathologic review of extrapelvic endometriosis. Korean J Obstet Gynecol. 2012; 55:83–88.
8. Bektas H, Bilsel Y, Sari YS, Ersoz F, Koc O, Deniz M, et al. Abdominal wall endometrioma: a 10-year experience and brief review of the literature. J Surg Res. 2010; 164:e77–e81.
9. Samal AG, Behera PK, Sahoo P. Abdominal scar endometriosis. Indian J Surg. 2013; 75:Suppl 1. 217–219.
10. Ecker AM, Donnellan NM, Shepherd JP, Lee TT. Abdominal wall endometriosis: 12 years of experience at a large academic institution. Am J Obstet Gynecol. 2014; 211:363.
11. Heller DS, Fitzhugh VA. Abdominal wall endometriosis: a rarely anticipated diagnosis: a 16-year experience and brief literature review. J Reprod Med. 2014; 59:110–112.
12. Chapron C, Jacob S, Dubuisson JB, Vieira M, Liaras E, Fauconnier A. Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum. Acta Obstet Gynecol Scand. 2001; 80:349–354.
13. Woodward PJ, Sohaey R, Mezzetti TP Jr. Endometriosis: radiologic-pathologic correlation. Radiographics. 2001; 21:193–216.
14. Markham SM, Carpenter SE, Rock JA. Extrapelvic endometriosis. Obstet Gynecol Clin North Am. 1989; 16:193–219.
15. Choudhary S, Fasih N, Papadatos D, Surabhi VR. Unusual imaging appearances of endometriosis. AJR Am J Roentgenol. 2009; 192:1632–1644.
16. Chapron C, Boucher E, Fauconnier A, Vieira M, Dubuisson JB, Vacher-Lavenu MC. Anatomopathological lesions of bladder endometriosis are heterogeneous. Fertil Steril. 2002; 78:740–742.
17. Donnez J, Spada F, Squifflet J, Nisolle M. Bladder endometriosis must be considered as bladder adenomyosis. Fertil Steril. 2000; 74:1175–1181.
18. Somigliana E, Vercellini P, Gattei U, Chopin N, Chiodo I, Chapron C. Bladder endometriosis: getting closer and closer to the unifying metastatic hypothesis. Fertil Steril. 2007; 87:1287–1290.
19. Vercellini P, Frontino G, Pisacreta A, De Giorgi O, Cattaneo M, Crosignani PG. The pathogenesis of bladder detrusor endometriosis. Am J Obstet Gynecol. 2002; 187:538–542.
20. Kjer JJ, Kristensen J, Hartwell D, Jensen MA. Full-thickness endometriosis of the bladder: report of 31 cases. Eur J Obstet Gynecol Reprod Biol. 2014; 176:31–33.
21. Schneider A, Touloupidis S, Papatsoris AG, Triantafyllidis A, Kollias A, Schweppe KW. Endometriosis of the urinary tract in women of reproductive age. Int J Urol. 2006; 13:902–904.
22. Rehman J, Yildirim G, Khan SA, Chughtai B, Nezhat F. A case of successful laparoscopic resection of adrenal gland endometriosis. Fertil Steril. 2008; 90:2015.
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