Endometriosis infiltrating the pelvic floor muscles with histopathological correlation—A case report
| Autor: | Claudio P. Crispi Jr, Claudio P. Crispi, Fernanda de Paula Crispi, Leon Cardeman, Alice C. C. Brandão Salomao, Marlon de Freitas Fonseca |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Pelvic floor medicine.diagnostic_test business.industry Pelvic pain Endometriosis Obstetrics and Gynecology Physical examination Nodule (medicine) medicine.disease body regions 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Levator ani 030220 oncology & carcinogenesis medicine Parametrium Histopathology Radiology medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 45:2116-2120 |
| ISSN: | 1447-0756 1341-8076 |
| DOI: | 10.1111/jog.14056 |
| Popis: | We report the case of a 29-year-old woman with deep infiltrating endometriosis who underwent robotic nerve-sparing surgery for resection of all visible lesions infiltrating pelvic and extrapelvic sites. Painful symptoms included severe dysmenorrhea, menstrual dyschezia and stranguria, with no improvement in response to hormonal treatment. The location on physical examination of a painful retrocervical nodule was identified by magnetic resonance imaging to be infiltrating the right parametrium/paracervix. During surgery, this nodule was recognized as an important retrocervical/rectovaginal lesion infiltrating the pelvic floor (i.e. levator ani and coccygeus), and was histopathologically confirmed as endometriosis infiltrating the skeletal pelvic floor muscles. A Pubmed search of the MEDLINE database in March (2019) found no publication reporting histopathologic confirmation of endometriosis infiltrating the pelvic floor muscles. |
| Databáze: | OpenAIRE |
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