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Ectopic endometrium in omentum. Uterine perforation by Lippes loop
Obstetrics and Gynecology
|January 1, 1975
Summary
Ectopic endometrium in the omentum was found after uterine perforation from a Lippes Loop. This case supports Sampson's theory of endometrial implantation via retrograde menstruation.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometrial tissue is normally confined to the uterus.
- Ectopic endometrial implants can cause various clinical symptoms.
- The omentum is an unusual site for ectopic endometrial tissue.
Purpose of the Study:
- To report a rare case of omental endometriosis.
- To investigate the potential mechanism of endometrial implantation in the omentum.
- To correlate the findings with Sampson's theory of endometrial implantation.
Main Methods:
- Case report of a patient with uterine perforation.
- Surgical removal and pathological examination of omental tissue.
- Histopathological analysis to identify endometrial glands and stroma.
Main Results:
- Histopathology confirmed the presence of ectopic endometrial tissue within the omentum.
- The uterine perforation was associated with the insertion of a Lippes Loop.
- Findings are consistent with Sampson's theory of Sampson's theory of endometrial implantation.
Conclusions:
- Omental endometriosis can occur secondary to uterine perforation.
- Sampson's theory of endometrial implantation provides a plausible explanation for this occurrence.
- This case highlights the importance of considering iatrogenic causes for ectopic endometrial tissue.
Keywords:
BiologyCase StudiesContraceptionContraceptive Methods--complicationsDiseasesEndometrial EffectsEndometriumFamily PlanningGenitaliaGenitalia, FemaleHistologyIud, Unmedicated--complicationsIud--complicationsPerforationsPhysiologyResearch MethodologyStudiesUrogenital SystemUterine PerforationUterus