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Related Experiment Videos

Endometriosis: presentation to general surgeons.

N Khetan1, J Torkington, A Watkin

  • 1Department of Surgery, Gwynedd Hospital, Bangor, UK.

Annals of the Royal College of Surgeons of England
|January 1, 2000
PubMed
Summary

Endometriosis can present to general surgeons, often as extragonadal deposits like scar or umbilical swellings. Early diagnosis and surgical excision are typically effective for these cases.

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Area of Science:

  • Gastroenterology
  • Gynecology
  • General Surgery

Background:

  • Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside the uterus.
  • While typically managed by gynecologists, endometriosis can present to general surgeons, particularly with extragonadal manifestations.

Purpose of the Study:

  • To analyze cases of endometriosis presenting to general surgeons.
  • To highlight the varied clinical presentations and outcomes of endometriosis managed by general surgery.

Main Methods:

  • Retrospective analysis of nine cases of endometriosis presenting to general surgeons over 4.5 years.
  • Review of pathology records for a total of 83 endometriosis cases.

Main Results:

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  • Nine (10.8%) of 83 endometriosis cases presented to general surgeons.
  • Presentations included scar swellings, inguinal canal masses, umbilical nodules, rectal bleeding, and abdominal pain.
  • All nine patients were premenopausal women, with most diagnosed postoperatively.

    • Conclusions:

    • Endometriosis should be considered in the differential diagnosis for women with swellings (umbilicus, scars, inguinal canal, pelvis) and cyclical symptoms.
    • Surgical excision is often adequate treatment, with some cases requiring gynecological referral and medical therapy.