Endometriosis in association with uterine anomaly
Abstract
Endometriosis is frequently a chronic process, which may begin soon after menarche. The process may be enhanced by mechanical obstruction. Theories of retrograde menstruation and metaplasia still remain in vogue. Endometriosis is a cause of both acute and chronic pelvic pain in the adolescent. We present case reports of müllerian lateral wall fusion defects with surgical correction and evidence for resorption of endometriosis. Clinicians must be aware that patients with uterine anomalies may develop extensive endometriosis, which upon creation of an unobstructed outflow tract results in complete resorption. Furthermore, the mechanism of formation of endometriosis in association with an outflow tract obstruction may be very different from that associated with infertility. We recommend consideration of endometriosis and/or a reproductive tract abnormality in the adolescent with persistent pelvic pain.
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When the obstruction is removed, lesions and pain often resolve.
“When the obstruction is removed, often lesions and pain resolve (Sanfilippo et al., 1986).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Sanfilippo et al., 1986
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References 14 · Cited by 270
- Authors
- Sanfilippo, J. S., Wakim, N. G., Schikler, K. N., & Yussman, M. A.
- Affiliations
- University of Louisville (US)
- Corresponding author
- Sanfilippo, Joseph S.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 1986-01
- Volume
- 154
- Issue
- 1
- Pages
- 39-43
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W1996903542
- Cited by
- 270
- References
- 14
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 5 · 2023: 8 · 2022: 9 · 2021: 7 · 2020: 10 · 2019: 16 · 2018: 10 · 2017: 15 · 2016: 9 · 2015: 10 · 2014: 11 · 2013: 10 · 2012: 18
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (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 › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- endometriosis, Müllerian duct anomalies, uterine anomalies, retrograde menstruation, metaplasia, outflow tract obstruction, surgical correction
- MeSH terms
- Adolescent, Endometriosis, Female, Humans, Laparotomy, Uterine Neoplasms, Uterus
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