title: [Endometriosis in adolescents and young women. Can we afford to delay the diagnosis?].
abstract: Retrospective analysis performed on medical records of 129 adolescents and young women treated surgically at I Dept. of Surgical Gynaecology during the nine years period (1989-1998) revealed 22 cases (17%) of endometriosis. Main indication for surgical intervention, apart from dysmenorrhoea and cyclic abdominal pain, had been the presence of endometriod cyst, as disclosed by ultrasound investigation (66%). Despite of negative result of imaging or clinical examination subjective complaints necessitated laparotomy in 27% of cases. According to American Fertility Society endometriosis classification, 17% subjects presented endometriosis in I stage, 17%--in stage II and remaining 66%--endometrioid cysts with stage III. Authors conclude, that in cases with persistent abdominal pain, not responding to conventional therapy, diagnostic laparoscopy/laparotomy in young women should not be delayed, unless endometriosis is suspected.
authors.affiliation: Kliniki Ginekologii Operacyjnej I Katedry Połoznictwa i Chorób Kobiecych AM w Lublinie.
authors.forename: H
authors.initials: H
authors.lastname: Zrubek
authors.forename: M
authors.initials: M
authors.lastname: Sikorski
authors.forename: M
authors.initials: M
authors.lastname: Nasser
authors.forename: N
authors.initials: N
authors.lastname: Stachowicz
authors.forename: A
authors.initials: A
authors.lastname: Chil
mesh_terms: D000293:Adolescent; D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000601:surgery; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000601:surgery; D004715:Endometriosis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D010535:Laparoscopy / Q000379:methods; D011300:Preoperative Care; D012189:Retrospective Studies; D012720:Severity of Illness Index