Laparoscopic management of peritoneal endometriosis, endometriotic cysts, and rectovaginal adenomyosis.

Donnez, Jacques;Smets, Mireille;Jadoul, Pascale;Pirard, Celine;Squifflet, Jean-Paul
(2003) Annals / New York Academy of Sciences — Vol. 997, p. 274-281 (2003)

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Authors
  • Donnez, JacquesUCLouvain
    Author
  • Smets, Mireille
    Author
  • Jadoul, PascaleUCLouvain
    Author
  • Pirard, Celine
    Author
  • Squifflet, Jean-PaulUCLouvain
    Author
Abstract
Peritoneal endometriosis is probably caused by the implantation of regurgitated menstrual cells. The ovarian endometrioma is the consequence of non-hormone-regulated bleeding from intraovarian epithelial inclusions after they have undergone metaplasia into endometrial-like tissue. Rectovaginal adenomyosis is, in fact, an adenomyotic lesion and can develop from Müllerian rests. In conclusion, peritoneal endometriosis, ovarian endometriosis, and rectovaginal adenomyotic nodules must be considered as three separate entities with different pathogeneses that require a different therapeutic approach.
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Donnez, J., Smets, M., Jadoul, P., Pirard, C., & Squifflet, J.-P. (2003). Laparoscopic management of peritoneal endometriosis, endometriotic cysts, and rectovaginal adenomyosis. Annals / New York Academy of Sciences, 997, 274-281. https://doi.org/10.1196/annals.1290.031 (Original work published 2003)