Endometriosis, need for a multidisciplinary clinical setting: the internist's point of view.
Endometriosis is a common condition characterized by proliferation of endometrial tissue outside the uterus, both in the pelvis and in other extra-pelvic sites. The clinical picture of endometriosis is widely heterogeneous. A correct diagnostic work-up of these patients can sometimes be very difficult, since there are a number of gynecological, intestinal and systemic diseases mimicking endometriosis, as well as other conditions that could be associated with or are a consequence of this disorder. Therefore, multidisciplinary care should be encouraged to ensure correct evaluation and improve the management of these patients.
Montalto
Massimo
M
Institute of Internal Medicine, Catholic University, Largo Agostino Gemelli 8, 00168 Rome, Italy. mmontalto@rm.unicatt.it
Santoro
Luca
L
D'Onofrio
Ferruccio
F
Gallo
Antonella
A
Campo
Sebastiano
S
Campo
Vincenzo
V
Gasbarrini
Antonio
A
Gasbarrini
Giovanni
G
D015897:Comorbidity; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis*; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis*; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology
Am J Surg Pathol. 2001 Apr;25(4):445-54
11257618
Am J Gastroenterol. 1994 Nov;89(11):1973-7
7942720
Am J Med. 1996 Feb;100(2):164-70
8629650
Rheumatol Int. 2006 Apr;26(6):489-96
16283319
Best Pract Res Clin Obstet Gynaecol. 2004 Apr;18(2):349-71
15157647
Fertil Steril. 2006 Nov;86(5):1336-43
17007852
World J Gastroenterol. 2008 Jun 7;14(21):3430-4
18528943
Obstet Gynecol. 1984 Aug;64(2):151-4
6234483
Gastroenterology. 1979 May;76(5 Pt 1):1035-55
437407
J Clin Endocrinol Metab. 2000 Jul;85(7):2604-8
10902814
Fertil Steril. 2002 Oct;78(4):767-72
12372454
Hum Reprod. 2005 Oct;20(10):2698-704
15980014
Fertil Steril. 1993 May;59(5):963-70
8486196
Best Pract Res Clin Obstet Gynaecol. 2004 Apr;18(2):233-44
15157640
Lupus. 2007;16(9):736-40
17728368
Int J Fertil. 1988 Jan-Feb;33(1):48-51
2896174
Lancet. 2004 Nov 13-19;364(9447):1789-99
15541453
J Neurosurg. 1987 Apr;66(4):609-10
3559727
Fertil Steril. 2001 Mar;75(3):489-95
11239529
J Am Assoc Gynecol Laparosc. 2001 Nov;8(4):536-41
11677333
Gut. 2002 Apr;50(4):471-4
11889064
Am J Reprod Immunol. 1998 Oct;40(4):291-4
9784802
J Urol. 1971 Dec;106(6):858-9
5116302
World J Gastroenterol. 2009 Feb 7;15(5):612-4
19195065
Gastroenterology. 1991 Oct;101(4):927-34
1889716
JAMA. 2004 Aug 18;292(7):852-8
15316000
Am J Pathol. 2000 May;156(5):1581-8
10793070
J Clin Gastroenterol. 1999 Dec;29(4):344-5
10599639
Hum Reprod. 2002 Oct;17(10):2715-24
12351553
Eur J Gastroenterol Hepatol. 2000 Feb;12(2):217-21
10741938
Am J Pathol. 1927 Mar;3(2):93-110.43
19969738
Reprod Biomed Online. 2006 Jul;13(1):58-64
16820110
Am J Reprod Immunol. 2003 Jul;50(1):48-59
14506928
BJOG. 2001 Apr;108(4):403-7
11305548
World J Gastroenterol. 2008 Jan 7;14(1):146-51
18176980
Hum Reprod. 2007 Oct;22(10):2693-7
17720700
Am J Reprod Immunol. 2007 Aug;58(2):75-97
17631002
JSLS. 2003 Oct-Dec;7(4):371-5
14626406
Hum Reprod Update. 2005 Nov-Dec;11(6):595-606
16172113
Int J Colorectal Dis. 1995;10(2):83-6
7636378
Aust N Z J Obstet Gynaecol. 2004 Feb;44(1):72-4
15089874
Fertil Steril. 2006 Aug;86(2):298-303
16828481
Obstet Gynecol. 1981 Nov;58(5):552-6
7301229
Fertil Steril. 1998 Jul;70(1):81-8
9660426
Nat Immunol. 2003 Dec;4(12):1160-2
14639463
Eur J Gastroenterol Hepatol. 2004 Nov;16(12):1269-72
15618831
Ann N Y Acad Sci. 2002 Mar;955:360-72; discussion 389-93, 396-406
11949962
Rheumatol Int. 2006 May;26(7):676-9
16184383