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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

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Published on: December 21, 2012

Diffuse abdominal and pelvic endosalpingiosis: A case report.

Matthew Jamil Homsi¹, Akash Dadlani¹, Behnaz Khazai¹

¹Norwalk Hospital Department of Diagnostic Radiology, 34 Maple St, Norwalk, CT 06850, USA.

Radiology Case Reports

|August 8, 2022

Summary

Endosalpingiosis, the presence of fallopian tube lining outside the uterus, is increasingly recognized. This rare condition requires histologic confirmation, often presenting with varied pelvic masses on imaging.

Keywords:

Appendix Endometriosis Endosalpingiosis Mullerian

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Area of Science:

Gynecologic Pathology
Reproductive Endocrinology
Medical Imaging

Background:

Endosalpingiosis is characterized by ectopic benign ciliated tubal epithelium outside the fallopian tubes.
Historically considered an incidental finding, its prevalence is rising in medical literature.
Diagnosis relies on histological examination of tissue samples.

Observation:

Radiological features are non-specific, but imaging often reveals multiple pelvic cystic and solid masses.
Common ectopic sites include the uterine serosa, ovaries, fallopian tubes, and pelvic cul-de-sac.
Less frequent locations involve the bladder, omentum, bowel serosa, and skin.

Findings:

Presents a case of histologically confirmed endosalpingiosis.
Discusses atypical imaging findings associated with the condition.
Correlates imaging observations with histological evidence.

Implications:

Highlights the importance of considering endosalpingiosis in the differential diagnosis of pelvic masses.
Emphasizes the need for histological confirmation despite variable imaging presentations.
Contributes to a better understanding of this rare gynecologic entity and its diagnostic challenges.