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Cystic endosalpingiosis presenting as chronic back pain, a case report.

Scheel AH, Frasunek J, Meyer W, Ströbel P - Diagn Pathol (2013)

Bottom Line: Previous examinations had been inconclusive.Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides.After uneventful laparoscopic-assisted vaginal hysterectomy the patient quickly recovered and was relieved of her chronic backache.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathology, University Medical Center Göttingen, Göttingen, Germany. scheel@patho-nordhessen.de.

ABSTRACT
A 48-year old woman presented with chronic back pain. Previous examinations had been inconclusive. Gynaecological examination revealed large cystic masses on the fundus uteri and left adnexa. Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides. After uneventful laparoscopic-assisted vaginal hysterectomy the patient quickly recovered and was relieved of her chronic backache. Virtual slides: http://www.diagnosticpathology.diagnomx.eu/vs/1501709091077524.

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Related in: MedlinePlus

Clinical presentation. Transvaginal ultrasound showed cystic formations in the areas of the right fallopian tube (a) and fundus uteri (b). The maximum diameter of the cysts was 7.5 cm. Laparoscopic presentation of the cystic mass (c); uterus (front) with right tube and right abdominal wall (background).
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Figure 1: Clinical presentation. Transvaginal ultrasound showed cystic formations in the areas of the right fallopian tube (a) and fundus uteri (b). The maximum diameter of the cysts was 7.5 cm. Laparoscopic presentation of the cystic mass (c); uterus (front) with right tube and right abdominal wall (background).

Mentions: The transvaginal ultrasound examination showed cystic formations with multiple well delimited cysts at the fundus uteri and the adnexa (Figure 1a-b). The cysts had homogeneous, echo-free lumina and smooth walls. The maximum diameter was 7.5 cm. During laparoscopy, cystic formations were present on the surface of the fundus uteri and on both adnexa (Figure 1c). A biopsy was taken and histologically investigated by frozen sections. Neoplasia was ruled out and the uterus including both fallopian tubes and the left ovary were removed by laparoscopic-assisted vaginal hysterectomy (Figure 2).


Cystic endosalpingiosis presenting as chronic back pain, a case report.

Scheel AH, Frasunek J, Meyer W, Ströbel P - Diagn Pathol (2013)

Clinical presentation. Transvaginal ultrasound showed cystic formations in the areas of the right fallopian tube (a) and fundus uteri (b). The maximum diameter of the cysts was 7.5 cm. Laparoscopic presentation of the cystic mass (c); uterus (front) with right tube and right abdominal wall (background).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3924907&req=5

Figure 1: Clinical presentation. Transvaginal ultrasound showed cystic formations in the areas of the right fallopian tube (a) and fundus uteri (b). The maximum diameter of the cysts was 7.5 cm. Laparoscopic presentation of the cystic mass (c); uterus (front) with right tube and right abdominal wall (background).
Mentions: The transvaginal ultrasound examination showed cystic formations with multiple well delimited cysts at the fundus uteri and the adnexa (Figure 1a-b). The cysts had homogeneous, echo-free lumina and smooth walls. The maximum diameter was 7.5 cm. During laparoscopy, cystic formations were present on the surface of the fundus uteri and on both adnexa (Figure 1c). A biopsy was taken and histologically investigated by frozen sections. Neoplasia was ruled out and the uterus including both fallopian tubes and the left ovary were removed by laparoscopic-assisted vaginal hysterectomy (Figure 2).

Bottom Line: Previous examinations had been inconclusive.Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides.After uneventful laparoscopic-assisted vaginal hysterectomy the patient quickly recovered and was relieved of her chronic backache.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathology, University Medical Center Göttingen, Göttingen, Germany. scheel@patho-nordhessen.de.

ABSTRACT
A 48-year old woman presented with chronic back pain. Previous examinations had been inconclusive. Gynaecological examination revealed large cystic masses on the fundus uteri and left adnexa. Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides. After uneventful laparoscopic-assisted vaginal hysterectomy the patient quickly recovered and was relieved of her chronic backache. Virtual slides: http://www.diagnosticpathology.diagnomx.eu/vs/1501709091077524.

Show MeSH
Related in: MedlinePlus