Multifocal endometriosis. A case report.
Disseminated endometriosis of the urinary, genital and intestinal systems was treated successfully with conservative surgery. We hypothesize that this unusual presentation may have derived from retrograde menstruation, pooling of endometrial cells in the dependent anterior and posterior cul-de-sacs with subsequent passage across the peritoneal mesothelium, and dissemination by clockwise intraabdominal currents.
Vercellini
P
P
L. Mangiagalli Department of Obstetrics and Gynecology, University of Milan School of Medicine, Italy.
Vendola
N
N
Presti
M
M
Bolis
G
G
D000328:Adult; D004715:Endometriosis / Q000473:pathology* / Q000601:surgery; D005260:Female; D052776:Female Urogenital Diseases / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007410:Intestinal Diseases / Q000473:pathology* / Q000601:surgery