Multifocal endometriosis

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Published Sep 30, 2016
DOI: https://doi.org/10.22551/2016.12.0303.10078
Ludmila Lozneanu Delia Gabriela Ciobanu-Apostol Raluca Anca Balan Ioana Păvăleanu Simona Eliza Giuşcă Irina-Draga Căruntu Cornelia Amalinei

Abstract

Endometriosis represents a complex entity, characterized by tissue located in ectopic sites, outside uterus, with the highest incidence in ovaries and peritoneum. We report a rare case, with multiple endometriotic foci, in a 34 year old woman. The patient presented with intestinal subocclusion syndrome, associated with pelvic and abdominal pain. The imagistic exploration identified two peritoneal and one left ovarian masses and the clinical exam detected a 48/22 mm Douglas pouch mass. The surgical treatment, by exploratory laparotomy, resulted in segmental resection of the rectosigmoid junction and left adnexectomy. The intraoperative frozen section consultation, followed by paraffin-embedded, routine and immunohistochemical staining, led to a rare diagnosis of multiple foci of endometriosis, involving left adnexa, colorectum, and pericolic lymph nodes, without any atypia or malignancy. The postoperative evolution had been favorable. According to the identification of multiple endometriotic foci in our case, the hypothesis of different etiopathogenic mechanisms involvement may be supported by our findings.

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Keywords

endometriosis, multiple foci, immunohistochemistry, colon

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How to Cite
Lozneanu, L., Ciobanu-Apostol, D. G., Balan, R. A., Păvăleanu, I., Giuşcă, S. E., Căruntu, I.-D., & Amalinei, C. (2016). Multifocal endometriosis. Archive of Clinical Cases, 3(3), Arch Clin Cases 2016; 3(3):105-114. https://doi.org/10.22551/2016.12.0303.10078
Issue
Vol. 3 No. 3 (2016)
Section
Case Reports

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How to Cite

Lozneanu, L., Ciobanu-Apostol, D. G., Balan, R. A., Păvăleanu, I., Giuşcă, S. E., Căruntu, I.-D., & Amalinei, C. (2016). Multifocal endometriosis. Archive of Clinical Cases, 3(3), Arch Clin Cases 2016; 3(3):105-114. https://doi.org/10.22551/2016.12.0303.10078