title: Endometriosis diagnosed by laparoscopy in adolescent girls.
abstract: 105 adolescent girls with mean age of 17.3 (11-19) years had laparoscopy/pelviscopy between 1996 and 1997. In 37 cases, endometriosis was diagnosed (35.2%). The majority of the girls (32.4%) presented with endoscopic endometriosis classification (EEC) stage I. 2.8% of the girls had stage EEC II. The lesions involved one site or pelvic organ (64.8%) with a mean age of 18.7 (14-19) years. In 35.2% of cases, the lesions were at multiple sites with a mean age of 16.9 (11-19) years. Indications for laparoscopy included chronic or acute pelvic pain and right-sided lower abdominal pain. Endometriotic lesions were found in the pouch of Douglas (64.8%), uterosacral ligaments (37.8%), and ovarian fossa (24.3%), 42.8% of directed biopsies were positive. Endocoagulation of the endometriotic lesions was performed in 91.9% of cases.
authors.affiliation: Department of Obstetrics and Gynecology, Cottbus, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Emmert
authors.forename: D
authors.initials: D
authors.lastname: Romann
authors.forename: H H
authors.initials: HH
authors.lastname: Riedel
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D004715:Endometriosis / Q000175:diagnosis* / Q000473:pathology; D004724:Endoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D017699:Pelvic Pain