title: [Extrauterine endometriosis: what interest for the general surgeon? Presentation of 3 clinical cases and review of the literature].
abstract: Extragonadal endometriosis is rarely diagnosed preoperatively for the variety of its localizations. Presentations to general surgeons may be atypical and pose diagnostic difficulty, mimicking other acute diseases. We report three cases treated with surgical operation. Case 1: a 28-year-old woman admitted for bowel obstruction due to coecal endometriosis, with appendix mucocele, peritoneal pseudomyxoma and ovarian endometrioma. The patient underwent right colectomy and right adnexectomy in the emergency setting. Case 2: a 31-year-old woman with endometriosis of the distal extraperitoneal portion of the round ligament presenting as an irreducible inguinal hernia. An operation was performed: the round ligament and a polycystic structure encompassing it were completely excised. Case 3: a 41-year-old woman, with umbilical endometriosis diagnosed by her gynaecologist, was admitted to our department for excision. Surgical treatment of extragonadal endometriosis is adequate. However, postoperative follow-up is mandatory and hormonal suppressive therapy may be indicated by the gynaecologist.
authors.affiliation: Divisione di Chirurgia Generale, Dipartimento di Chirurgia Generale, Specialità Chirurgiche e Trapianti d'Organo Paride Stefanini, Azienda Policlinico Umberto 1, Università La Sapienza di Roma.
authors.forename: Delia
authors.initials: D
authors.lastname: Proposito
authors.forename: Paolo
authors.initials: P
authors.lastname: Negro
authors.forename: Francesco
authors.initials: F
authors.lastname: Gossetti
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Di Paola
authors.forename: Leonardo
authors.initials: L
authors.lastname: Montemurro
authors.forename: Stefano
authors.initials: S
authors.lastname: Gallina
authors.forename: Salvatore
authors.initials: S
authors.lastname: Veltri
authors.forename: Valerio
authors.initials: V
authors.lastname: Corazza
authors.forename: Carlo
authors.initials: C
authors.lastname: Brugiotti
authors.forename: Fabio
authors.initials: F
authors.lastname: Antonellis
authors.forename: Stefania
authors.initials: S
authors.lastname: Uccini
authors.forename: Manlio
authors.initials: M
authors.lastname: Carboni
mesh_terms: D000291:Adnexal Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002429:Cecal Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003082:Colectomy; D004630:Emergencies; D004715:Endometriosis / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012404:Round Ligament of Uterus / Q000473:pathology; D013997:Time Factors; D014463:Ultrasonography; D014472:Umbilicus / Q000000981:diagnostic imaging / Q000473:pathology