title: Persistence of endometriosis after correction of an obstructed reproductive tract anomaly.
abstract: BACKGROUND
  Endometriosis is commonly found in adolescents with an obstructed reproductive tract and has been reported to always regress after correction. This study highlights 5 patients who had persistent pain and a diagnosis of endometriosis following correction of their anomaly.
  
  
  METHODS
  The cases include patients with agenesis of the lower vagina or an obstructed hemivagina. All had recurrence of pain 6 months to 5 years after their corrective surgery. Laparoscopy revealed Stage I, II, and IV endometriosis.
  
  
  CONCLUSIONS
  This case series reveals that endometriosis does not always resolve following repair of an obstructive anomaly. This may result from prior/ongoing peritoneal seeding or other factors. Given possible disease progression and potential adverse effect on fertility, it important to consider laparoscopy and medical therapy if these patients have persistent pain.
authors.affiliation: Division of Gynecology, Department of Surgery, Boston Children's Hospital; Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Sharon A
authors.initials: SA
authors.lastname: Silveira
authors.forename: Marc R
authors.initials: MR
authors.lastname: Laufer
mesh_terms: D000293:Adolescent; D059350:Chronic Pain / Q000209:etiology; D004715:Endometriosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*
keywords: Agenesis of the lower vagina; Endometriosis; Müllerian anomaly; OVIRA; Obstructed hemivagina