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Synchronous rectovaginal, urinary bladder, and pulmonary endometriosis
Georgios E Hilaris1, Christopher K Payne, Joelle Osias
1Center For Special Minimally Invasive Pelvic Surgery, Stanford University Medical Center, USA. ghilaris2001@yahoo.com
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 29, 2005
Summary
Extragenital endometriosis, though rare, can affect multiple distant organs simultaneously. Surgical intervention by a multidisciplinary team successfully treated a patient with synchronous rectovaginal, bladder, and pulmonary endometriosis.
Area of Science:
- Reproductive Medicine
- Surgical Oncology
- Pulmonology
Background:
- Extragenital endometriosis is a rare condition affecting various organ systems.
- Synchronous involvement of multiple distant sites is exceptionally uncommon.
Observation:
- A 31-year-old female presented with symptoms of rectovaginal, urinary bladder, and pulmonary endometriosis.
- The patient experienced catamenial dysuria, pleurisy with spontaneous pneumothoraces, and pelvic pain.
Findings:
- A literature search revealed no prior case reports of synchronous rectovaginal, bladder, and pulmonary endometriosis.
- Surgical management included video-assisted thoracoscopic surgery, bladder wall endometrioma excision, and rectovaginal endometriosis resection.
Implications:
- Extragenital endometriosis can present synchronously in multiple distant sites.
- A high index of suspicion and a multidisciplinary surgical approach are crucial for diagnosis and successful treatment.
- Complete surgical eradication of visible disease can lead to symptom resolution even in complex cases.