Laparoscopic Resection of a De-Novo Retroperitoneal Endometrioma Involving the Left Ureter

Autor: N.D. Hazen, R.E. Krasnow, M. Creswell, J.K. Robinson Iii.
Rok vydání: 2020
Předmět:
Zdroj: Journal of Minimally Invasive Gynecology. 27:S3
ISSN: 1553-4650
DOI: 10.1016/j.jmig.2020.08.030
Popis: Study Objective This video is a demonstration of the resection of a de-novo retro-peritoneal non-ovarian endometrioma involving the left ureter in a patient with no prior history of surgical disruption of the peritoneum,and no evidence of peritoneal endometriosis. Design Video demonstration of an unusual pathologic finding, as well as the surgical technique for management. Setting Laparoscopy in the hospital OR. Patients or Participants Patient is a female with chronic pelvic pain located focused on the left. A left sided pelvic mass was noted during a diagnostic laparoscopy, and pt was subsequently referred to our MIGS department for evaluation and resection. Interventions Laparoscopic resection of the patients left-sided retro-peritoneal non-ovarian endometrioma. Measurements and Main Results The successful resection resulted in a significant improvement in the patient's pelvic pain. This was also a demonstration of retro-peritoneal endometriosis in a patient without prior disruption of the peritoneum, suggesting a hematogenous or metaplastic etiology. Conclusion Laparoscopy resulting in the safe resection of de-novo retro-peritoneal endometriosis.
Databáze: OpenAIRE