Endosalpingiosis in Postmenopausal Elderly Women
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¹ÚÁؽÄ(Park Jun-Sik) - Soonchunhyang University College of Medicine Bucheon Hospital Department of Obstetrics and Gynecology
±èÅÂÈñ(Kim Tae-Hee) - Soonchunhyang University College of Medicine Bucheon Hospital Department of Obstetrics and Gynecology
ÀÌÇØÇõ(Lee Hae-Hyeog) - Soonchunhyang University College of Medicine Bucheon Hospital Department of Obstetrics and Gynecology
Á¤¼öÈ£(Chung Soo-Ho) - Soonchunhyang University College of Medicine Bucheon Hospital Department of Obstetrics and Gynecology
Àüµ¿¼ö(Jeon Dong-Su) - Soonchunhyang University College of Medicine Bucheon Hospital Department of Obstetrics and Gynecology
Abstract
In gynecology, endosalpingiosis is a benign condition in which the fallopian tube-like epithelium is found outside the fallopian tube. The thirty-four point five percent of endosalpingiosis cases have concurrent endometriosis and 40% of the endosalpingiosis group are in postmenopausal states. In contrast with endometriosis, there are no significant links between infertility, chronic pelvic pain and endosalpingiosis. The symptoms of endosalpingiosis are not yet settled. Endosalpingiosis is almost always an incidental finding; it is commonly found through microscopic examinations, and is then confirmed by pathologists for excision and biopsy. Therefore, the clinical differential diagnosis of an intramural mass is more important for clinicians when discussing further surgery with the patients. We report case of woman who has endosalpingiosis and is presented with vaginal bleeding. We first suspect the disease during physical examination. Under the impression of pelvic mass, laboratory tests and radiological images of contrast enhanced chest computer tomography are taken. Images show multisepted cystic masses in left adnexa. To rule out the pelvic mass, we executed exploratory laparotomy. Pathologic results show endosalpingiosis near the ovary section. But the endosalpingiosis, is not generally considered a pathology, and thus, no treatment is necessary.
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Endometriosis, Fallopian tube diseases, Menopause, Uterine hemorrhage
KMID :
1007320140200010032
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