Presentation of endometriosis to general surgeons: A 10-year experience

K K Singh, K. Singh, A M Lessells, D J Adam, C Jordan, W F Miles, W. F. A. Miles, I M Macintyre, I. MacIntyre, J D Greig
The British journal of surgery · 1995 · vol. 82(10) , pp. 1349–1351 · doi:10.1002/bjs.1800821017 · PMID:7489161 · W2113171143
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This paper reviewed the surgical presentation and management of 24 endometriosis patients over 10 years, noting incidental diagnosis and successful excision with no recurrence.

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Abstract

The presentation and management of 24 patients with endometriosis (median age 34 (range 21-68)years) presenting to general surgeons over a period of 10 years (1985-1994) was reviewed. Patients presented with an abdominal wall swelling related to a previous Pfannenstiel incision (seven patients), umbilical swelling (four), inguinal canal swelling (two), incidentally following appendicectomy (five), terminal ileal obstruction (two), rectal bleeding (two) and urinary symptoms (two). Endometriosis was not suspected in most patients but was confirmed by surgical excision or resection with minimal morbidity. No recurrence occurred during a median follow-up of 53 (range 9-113) months. Endometriosis is a disease rarely seen by general surgeons and is often diagnosed incidentally or on histological examination. Cyclical symptoms associated with menstruation are present in 50 per cent of patients and should suggest the diagnosis in those presenting with scar-related and/or subcutaneous swellings. Simple excision or resection of the presenting lesion provides adequate treatment but, since pelvic endometriosis may be present, referral to a gynaecologist is recommended in every case.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Cecal Diseases Colonic Diseases Endometriosis Muscular Diseases Urinary Bladder Diseases Abdominal Muscles Abdominal Muscles Adult Aged Appendix Appendix Cecal Diseases Colonic Diseases Endometriosis Female Follow-Up Studies Humans Inguinal Canal Inguinal Canal Middle Aged

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (50)

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