title: Endosalpingiosis in conjunction with ovarian serous cystadenoma mimicking metastatic ovarian malignancy.
abstract: METHODS
  Female, 26.
  
  
  METHODS
  Endosalpingiosis.
  
  
  METHODS
  Chronic pelvic pain.
  
  
  METHODS
  -.
  
  
  METHODS
  Diagnostic laproscopy (conservative management).
  
  
  METHODS
  Obstetrics and Gynecology.
  
  
  OBJECTIVE
  Challenging differential diagnosis.
  
  
  BACKGROUND
  Interesting and unusual case of endosalpingiosis mimicking ovarian malignancy presentation.
  
  
  METHODS
  A 26-year-old G0P0 white female presented to our office with chronic pelvic pain. On vaginal examination, a nontender mass in left the adnexal region was palpable. Transvaginal ultrasound showed a left ovarian cyst. Laparoscopy was performed, which revealed diffuse bilateral ovarian excrescences with unusual multiple studdings throughout the peritoneum and abdominal cavity. Due to a suspicion of malignancy, a biopsy specimen was obtained for frozen sectioning. The specimen proved to be consistent with benign papillary serous cystadenofibroma. Gross appearance was still suspicious for malignancy and therefore left paraovarian cystectomy was performed. Additional specimens showed ovarian adenofibroma and endosalpingiosis. The patient's complaint of pelvic pain improved after laparoscopy. Due to diffuse presentation of endosalpingiosis in the peritoneum, serial CT scan of abdomen and pelvis at 6-month intervals was recommended.
  
  
  CONCLUSIONS
  To our knowledge, this is an unusual case of a young, nulliparous female presenting with diffuse-presentation endosalpingiosis in the abdomen and peritoneum, which on gross examination was suspicious for malignancy. By following a conservative approach and performing serial CT scans, the patient will be clinically monitored.
authors.affiliation: Department of Family Medicine, Wright Center for Graduate Medical Education, Wilkes Barre, USA.
authors.forename: Namrata
authors.initials: N
authors.lastname: Singhania
authors.affiliation: Department of Family Medicine, Wright Center for Graduate Medical Education, Wilkes Barre, USA.
authors.forename: Neha
authors.initials: N
authors.lastname: Janakiraman
authors.affiliation: Department of Obstetrics and Gynecology, Wilkes Barre General Hospital, Wilkes Barre, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Coslett
authors.affiliation: Department of Pathology, Wilkes Barre General Hospital, Wilkes Barre, USA.
authors.forename: Navid
authors.initials: N
authors.lastname: Ahmad
mesh_terms: D000328:Adult; D018293:Cystadenoma, Serous / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D019160:Endosonography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D010052:Ovariectomy / Q000379:methods*; D011230:Precancerous Conditions; D012488:Salpingitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014621:Vagina