Laparoscopic Treatment of a Retroduodenopancreatic Endometriotic Cyst Observed Postpartum

Piccinni, Giuseppe; Gm, De Luca; Lafranceschina, S; Biondi, Antonio; Marzullo, Andrea; Gurrado, Angela; Testini, Mario

doi:10.1089/lap.2016.0319

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…If, on the other hand, ovarian suppression therapy does not produce benefits, surgical excisional therapy of the lesions found is a priority (Table 5, Ref. [152,[154][155][156][157][158][159][160][161][162]).…”

Section: Pancreatic Endometriosismentioning

confidence: 99%

Rare extragenital endometriosis: pathogenesis and therapy

Fedele¹,

Fatta²,

Busnelli³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Background: In the context of extragenital endometriosis, the gastrointestinal, urinary tract, abdominal wall, and thorax localizations are considered relatively frequent, while the umbilical, inguinal, sciatic nerve, liver, and pancreas are instead "rare". Methods: Online searches were carried out in PubMed database of the last 20 years for these terms: extragenital endometriosis, umbilical endometriosis, inguinal endometriosis, sciatic nerve endometriosis, hepatic and pancreatic endometriosis. The following exclusion criteria were used:(1) Personal surgical history unspecified. (2) Nonspecific histological diagnosis for each type of endometriosis examined. (3) Inability to distinguish between the personal series of the author and the case reports described. (4) Proceedings of scientific meetings were not included. Tables that are easy to consult were compiled. Results: 810 titles were found among which 162 studies were selected for reading in full text and finally 114 papers were included, which met the objective of the revision. The so-called "rare" forms of extragenital endometriosis show an unsuspected frequency, an extreme variability of presentation, and uncertain treatment guidelines. Discussion: Gynecologists, general surgeons, and neurologists should be well acquainted with these pathologies to avoid confusing diagnostic paths and to set up adequate therapies.

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Section: Pancreatic Endometriosismentioning

confidence: 99%

Rare extragenital endometriosis: pathogenesis and therapy

Fedele¹,

Fatta²,

Busnelli³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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“…The most similar case to ours was that of a retroduodenopancreatic endometriotic cyst in a postpartum woman who had laparoscopic treatment. [10]…”

Section: Introductionmentioning

confidence: 99%

Novel diagnosis of mesenteric endometrioma

et al. 2019

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Rationale: Mesenteric cysts are benign gastrointestinal cystic lesions, with an incidence of <1/100 000. They usually develop in the small bowel mesentery, mesocolon (24%), retroperitoneum (14.5%), and very rarely originate from the sigmoid mesentery. Endometriomas represent a localized type of endometriosis and are usually within the ovary. Our case is unique because there are no reports in the literature of endometrial mesenteric cysts. Patient concerns: We present a case of a 29-year-old woman who underwent a routine gynecologic control. Diagnosis: Clinical examination and imaging identified 2 endometriomas on the left and posterior to the uterus. Interventions: The patient underwent exploratory laparoscopy. Unexpectedly, a 10 cm mesenteric cyst was identified; this was associated with adhesions in the left adnexal area and a left ovarian endometrioma. The classic surgical approach which was necessary identified the mesenteric cyst with cranial mesosigmoid and ileal adhesions, as well as distal adhesions which included the uterus, ileum, left ovarian endometrioma, left hydrosalpinx, left ureter, and rectum. The cyst was removed completely and a left adnexectomy was performed because of the presence of the endometrioma and adhesions. Outcomes: The patient's outcome was favorable, with discharge at 72 hours after surgery. The histopathological report revealed that both the mesenteric and ovarian cysts were endometriomas. Lessons: Our case is unusual in that a mesenteric cyst was identified in a patient with no clinical symptoms. Furthermore, the histopathological examination revealed the endometriotic origin of the mesenteric cyst which has not previously been reported in the literature.

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