BACKGROUND Ureteral endometriosis is a serious localization of disease burden that can lead to urinary tract obstruction, with subsequent hydroureter, hydronephrosis, and potential kidney loss. Diagnosis is elusive and relies heavily on clinical suspicion as ureteral endometriosis can occur with both minimal and extensive disease. Surgical technique to treatment varies, but the goal is to salv...

BACKGROUND Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal involvement is rare and differential diagnosis from colon cancer may be difficult due to the lack of pathognomonic symptoms and the poor diagnostic yield of colonoscopy and colonic biopsies. CASE PRESENTATION We present a case of a young woman with sigmoid endometriosis...

Endometriosis is commonly misdiagnosed, even among many experienced gynecologists. Gastrointestinal and genitourinary endometriosis is particularly difficult to diagnose, and is commonly mistaken for other pathologies, such as irritable bowel syndrome, interstitial cystitis, and even psychological disturbances. This leads to delays in diagnosis, mismanagement, and unnecessary testing. In this r...

Objective: To investigate possible risk factors for the development of endometriosis. Study Design: A case control study of 147 women with a new diagnosis of endometriosis, and 131 normal controls recruited from well women clinics. Controls were screened for the presence of symptoms of endometriosis. The setting was two tertiary referral centres for endometriosis and surrounding community clini...

Endometriosis is a debilitating disease with features of chronic inflammation. Endometriosis appears to be one of the most common benign gynecological proliferations in premenopausal women since it is estimated that 10-15% of reproductive aged women suffer from pelvic endometriosis. The biology of endometriosis is unclear. Despite its prevalence, this disease remains poorly understood and curre...

The most common presentations of endometriosis include pelvic pain, infertility, and adnexal mass. The ovaries, the posterior leaf of the broad ligament, and the cul-de-sac of Douglas behind the uterus are the most common locations of endometriosis, and the left side is more frequently affected than the right, as the rectosigmoid and its mesocolon both often involved with endometriosis enter th...

We investigated the length of time between the onset of pain symptoms and the surgical diagnosis of endometriosis in women from the UK and the USA. A total of 218 women with surgically confirmed disease, recruited through endometriosis self-help groups, completed a postal questionnaire. The mean +/- SD delay in diagnosis for women from the USA was 11.73 +/- 9.05 years, significantly higher than...

Pain in the right in iliac fossa can be a related to organ localized within this quadrant. The most appropriate clinical diagnosis for tenderness in Mc Burney’s point is acute appendicitis. An uncommon cause for pain in the right iliac fossa is endometriosis of appendix. We document a case of 45-year-old lady who presented with pain in the right iliac fossa pain and tenderness in Mc Burney’s po...

we report a case of florid polypoid endometriosis presenting with advanced bulky disease in pelvis with serum ca – 125 levels of 7844u/ml. the extent of tumor, ct scan findings, elevated serum ca – 125 levels were suggestive of ovarian malignancy. histopathology demonstrated endometrial glands and stroma. glands were neither crowded nor complex and were separated by a fibromatous stroma that co...