Articles Related to Endometriosis

Endometriosis is a estrogen-dependent disorder commonly found in pelvis or rare instances anywhere in the body. It is benign and has a chronic course. Complaints of pain, tender mass, cyclical association with menstrual cycle are almost pathognomonic. We present a rare presentation of endometriosis as vaginal wall cyst in a 32 year old female and without any clinical history of endometriosis either in past or present. The isolated presentation of endometriosis as a cyst in vagina is a rare presentation. The case is glaring example of occurrence of endometriosis at unusual extra uterine location. It is essential for gynecologists to keep endometriosis as differential diagnosis when encountering similar cysts in vaginal region.

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The incidence of urinary tract endometriosis ranges from 0.3 to 12% of all women affected by endometriosis. Endometriosis has been successfully treated at General Surgery Department of National Medical Research Center of Obstetrics, Gynecology and Perinatology named after V.I. Kulakov in Moscow. In the 2012-2016 period, we performed 23 bladder resections, ureterolysis in 35 patients, 3 ureteral resections with reimplantations, 3 ureteral resections and uretero-ureteral anastomosis. All these procedures were performed for urinary tract endometriosis. We present 2 cases of urinary tract endometriosis in women of reproductive age. The possibilities of hormonal therapy in the treatment of endometriosis are limited. Surgical intervention with complete removal of endometrial tissue is the most effective; however, the probability of recurrence still remains high, especially in young patients.

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Deep endometriosis is a disease with a great negative impact on patient quality of life, requiring surgical treatment in tertiary centers and surgeons highly skilled in performing complex surgeries, and is associated with high rates of morbidity and related complications. We evaluated all cases of deep endometriosis operated by the same surgeon since 2011 to evaluate the profiles of patients, sites and organs affected, surgical indications and complications and to propose a standardization of the surgical technique used in our service.

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Abdominal wall endometriosis is a rare condition occurring after caesarean section. A small painful nodule or lump near post caesarean scar is the common presentation. Large size endometrial nodules in anterior abdominal wall are uncommon and bleeding is very rare complication. In a thirty two years female a giant size endometrial nodule developed in a post caesarean scar. This patient presented as emergency during menstruation because of pain and lump with bluish discolouration. This case is reported for post caesarean scar large size endometriosis with extravasation of blood in surrounding anterior abdominal wall. This giant size endometriosis in anterior abdominal wall involving rectus abdominis muscle was successfully excised with a margin. The residual large size defect was repaired using polypropylene mesh.

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This case report describes the diagnosis and management of a large mesenteric cyst in a 55 year old lady who presented with abdominal distension & with mass in the left upper quadrant. Mesenteric cysts are rare, benign, abdominal tumors to which <1000 cases have been reported in the literature.

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