Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations
Abstract
The clinicopathological characteristics of 34 cases of extragenital endometriosis (mean age 33.74) presenting to surgeons over a 9-year period at Glasgow Royal Infirmary were reviewed. A total of 379 cases of endometriosis were diagnosed by histology during the period, giving an 8.9% prevalence of extragenital manifestations. Eleven (32.3%) cases were in the intestinal tract, two (5.9%) in the urinary tract and 21 (61.8%) were in other sites, including pfannenstial scar, inguinal canal, umbilicus and perineum; 52.9% presented to gynaecologists and mean time to diagnosis was 24.54 months (CI: 13.2 - 35.8). Pain was the most common presentation in 76.5% but this was cyclical, reported in only 41.2%. Palpable mass was found in 41.2%, especially in pfannenstial scar (26.5%), suggesting iatrogenic cause. Histology remains the cornerstone of diagnosis and several of the case histories describe delay and diagnostic confusion. Endometriosis is rarely fatal, but continues to challenge patients and clinicians in all specialities in presentation and diagnosis.
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Extrapelvic endometriosis occurs in 9-15% of endometriosis cases.
“The disease is less commonly (9–15%) located outside the pelvic cavity, and is termed extrapelvic endometriosis.”
From Evaluation of cases of abdominal wall endometriosis at Universidade Estadual de Campinas in a period of 10 Years (2017) · cites this paper as [3]
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- Authors
- Douglas, C., & Rotimi, O.
- Affiliations
- Inverclyde Royal Hospital (GB)
- Leeds General Infirmary (GB)
- ORCID
- Douglas, C
- Venue
- Journal of Obstetrics and Gynaecology
- Publisher
- Informa UK Limited
- Published
- 2004-01
- Volume
- 24
- Issue
- 7
- Pages
- 804-808
- ISSN
- 0144-3615 (ISSN-L)
- 1364-6893
- OpenAlex
- W2158642216
- Cited by
- 179
- References
- 14
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 9 · 2020: 7 · 2019: 4 · 2018: 7 · 2017: 11 · 2016: 8 · 2015: 6 · 2014: 9 · 2013: 19 · 2012: 11
- FWCI
- 8.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetrics and Gynaecology (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
- extragenital endometriosis, intestinal endometriosis, urinary tract endometriosis, pelvic endometriosis, delayed diagnosis, cyclical pain, palpable mass, iatrogenic endometriosis, histopathological diagnosis, clinicopathological features
- MeSH terms
- Adult, Appendix, Urinary Bladder Diseases, Uterine Cervical Diseases, Cicatrix, Diagnosis, Differential, Endometriosis, Female, Humans, Intestinal Diseases, Middle Aged, Omentum, Pain, Perineum, Peritoneal Diseases, Umbilicus, Urologic Diseases
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