Presentation of endometriosis to general surgeons: A 10-year experience
Abstract
The presentation and management of 24 patients with endometriosis (median age 34 (range 21–68) years) presenting to general surgeons over a period of 10 years (1985–1994) was reviewed. Patients presented with an abdominal wall swelling related to a previous Pfannenstiel incision (seven patients), umbilical swelling (four), inguinal canal swelling (two), incidentally following appendicectomy (five), terminal ileal obstruction (two), rectal bleeding (two) and urinary symptoms (two). Endometriosis was not suspected in most patients but was confirmed by surgical excision or resection with minimal morbidity. No recurrence occurred during a median follow-up of 53 (range 9–113) months. Endometriosis is a disease rarely seen by general surgeons and is often diagnosed incidentally or on histological examination. Cyclical symptoms associated with menstruation are present in 50 per cent of patients and should suggest the diagnosis in those presenting with scar-related and/or subcutaneous swellings. Simple excision or resection of the presenting lesion provides adequate treatment but, since pelvic endometriosis may be present, referral to a gynaecologist is recommended in every case.
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The frequency of AWE has been estimated to be 0.04%-5.5%.
“The frequency of AWE has been estimated to be 0.04%‐5.5%.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [13]
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- Authors
- Singh, K. K., Lessells, A. M., Adam, D. J., Jordan, C., Miles, W. F. A., MacIntyre, I. M. C., & Greig, J. D.
- Affiliations
- Western General Hospital (GB)
- Corresponding author
- Greig, J D
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-10-01
- Volume
- 82
- Issue
- 10
- Pages
- 1349-1351
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2113171143
- Cited by
- 172
- References
- 18
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 7 · 2022: 2 · 2021: 2 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 3 · 2015: 7 · 2014: 7 · 2013: 10 · 2012: 8
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- British journal of surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
- Keywords
- endometriosis, incidental diagnosis, Pfannenstiel incision, appendectomy, rectal bleeding, surgical excision, surgical resection, recurrence, general surgery
- MeSH terms
- Abdominal Muscles, Adult, Aged, Appendix, Urinary Bladder Diseases, Cecal Diseases, Colonic Diseases, Endometriosis, Female, Follow-Up Studies, Humans, Inguinal Canal, Middle Aged, Muscular Diseases, Umbilicus
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