title: Laparoscopic management of peritoneal endometriosis, endometriotic cysts, and rectovaginal adenomyosis.
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.
authors.affiliation: Department of Gynecology, Université Catholique de Louvain, Cliniques Universitaires St Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium. donnez@gyne.ucl.ac.be
authors.forename: Jacques
authors.initials: J
authors.lastname: Donnez
authors.forename: Mireille
authors.initials: M
authors.lastname: Smets
authors.forename: Pascale
authors.initials: P
authors.lastname: Jadoul
authors.forename: Celine
authors.initials: C
authors.lastname: Pirard
authors.forename: Jean
authors.initials: J
authors.lastname: Squifflet
mesh_terms: D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis / Q000601:surgery*; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000601:surgery*; D011379:Prognosis; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014623:Vaginal Diseases / Q000175:diagnosis / Q000601:surgery*