1/197. Radical surgery for endometriosis.Infiltrative endometriosis is an uncommon condition that may involve all pelvic organs and is associated with considerable morbidity. A small percentage of patients will have disease that is unresponsive to hormonal therapy and is unsuitable for conservative surgery. Presented is a review of 5 case reports of patients who required radical surgery for control of symptoms caused by endometriosis. Radical surgery was associated with minimal morbidity and a high rate of resolution of symptoms. Radical surgery should be considered as part of the treatment strategy particularly when there is evidence of endometriosis invading into the adjacent gastrointestinal tract or urinary tract.- - - - - - - - - - ranking = 1keywords = disease (Clic here for more details about this article) |
2/197. endometriosis: a clinically malignant disease.According to the literature this is the first patient with the primary diagnosis of an endometriosis (EMT) based on the cardinal symptom of an uremia in combination with a colorectal ileus. Operative removal of EMT was possible after hormonal suppression with Dienogest.- - - - - - - - - - ranking = 4keywords = disease (Clic here for more details about this article) |
3/197. Oral contraceptives: therapeutic uses and quality-of-life benefits--case presentations.Numerous studies have shown that oral contraceptives (OC) provide protection against a wide variety of illnesses and conditions, including loss of bone density, ovarian cysts, menstrual cycle irregularities, dysmenorrhea and menorrhagia, ectopic pregnancy, pelvic inflammatory disease, benign breast disease, endometrial cancer, and ovarian cancer. How OC can be used not only for contraception but also to improve health among women throughout their reproductive years is illustrated by four case presentations: an adolescent with menstrual problems; a 25-year-old mulligravida who wishes to delay childbearing; a 35-year-old who has completed her family and requests tubal ligation; and a 45-year-old with perimenopausal symptoms. In view of their numerous health benefits, OC are to reproductive-age women as hormone replacement therapy is to menopausal women.- - - - - - - - - - ranking = 2keywords = disease (Clic here for more details about this article) |
4/197. Iatrogenic abdominal scar endometriosis: a case report.We report the case of a patient with abdominal scar endometriosis following a cesarean section. The rarity of this localization and its appearance on computerized tomography is shown. We emphasize the combination of history and image study of this pathology in the differential diagnosis of other diseases.- - - - - - - - - - ranking = 1keywords = disease (Clic here for more details about this article) |
5/197. Cyclical acute renal failure due to bilateral ureteral endometriosis.endometriosis is a common disease but ureteral involvement is relatively rare. Ureteric endometriosis is mostly unilateral. Endometriotic ureteral obstruction is a serious event commonly diagnosed late and therefore associated with a major risk of hydronephrotic renal atrophy. We present the cyclical acute renal failure associated with menstruation in a patient who developed severe bilateral ureteral obstruction due to endometriosis. physicians should be aware of this uncommon but serious manifestation of endometriosis, especially if the clinical presentation is cyclical acute renal dysfunction in a premenopausal woman.- - - - - - - - - - ranking = 1keywords = disease (Clic here for more details about this article) |
6/197. endometriosis ascites: a case report.This is a case presentation of an usual nature, a 43-year-old Hispanic female, multigravida presenting with physical findings of massive ascites. In most instances, the presence of massive ascites is associated with malignancies, tuberculosis or perforated visous. In this case, the diagnosis of extensive endometriosis with ascites is reported as a very rare complication of the disease.- - - - - - - - - - ranking = 1.9035350331194keywords = disease, tube (Clic here for more details about this article) |
7/197. A case of parenchymal pulmonary endometriosis.Pulmonary endometriosis is a rare disease entity and we report a 23-year-old single woman with a history of hemoptysis in association with menstruation. She was previously treated effectively with hormone therapy for 3 months, but decided to undergo surgical resection because of the high cost of hormone therapy. Radiographic finding of the chest showed haziness in the right lower lung field, and chest CT showed a ground-glass appearance in the posterobasal and laterobasal segment. The patient underwent basal segmentectomy of the right lower lobe. There was no incidence of hemoptysis during her menstruation following the operation.- - - - - - - - - - ranking = 1keywords = disease (Clic here for more details about this article) |
8/197. Successful use of gonadotropin-releasing hormone agonist in a patient with pulmonary endometriosis.A 26-year-old single female was admitted to hospital with recurrent chest pain, cough and hemoptysis. The symptoms developed 5 months before admission coinciding with menstruation. The disease was diagnosed as pulmonary endometriosis. She was treated with a long-acting gonadotropin-releasing hormone analogue (GnRH agonist; sustained-release leuprolide acetate, 3.75 mg/month, i.m.) for 6 months. She remained asymptomatic for 16 months with regular menstruation even after discontinuing the treatment. This indicates that the initial treatment of pulmonary endometriosis with a GnRH agonist is an acceptable medical alternative, especially in patients with a short duration of the disease from the onset of the chest symptoms. copyright copyright 1999 S. Karger AG, Basel- - - - - - - - - - ranking = 2keywords = disease (Clic here for more details about this article) |
9/197. Endometrioid carcinoma arising in pericecal endometriosis clinically mimicking Crohn's disease.A case of endometrioid carcinoma arising in pericecal endometriosis that clinically and radiologically mimicked Crohn's disease is presented. After developing several complications of steroid therapy for presumed Crohn's disease, a 48-year-old woman developed intestinal obstruction and underwent a right hemicolectomy. A pericecal mass composed of endometriosis and endometrioid carcinoma and a locally metastatic ileal carcinoid tumor were resected. The patient recovered fully and is clinically free of tumor at 36 months. The pertinent literature is reviewed and the etiologic, therapeutic, and prognostic implications of this case are discussed.- - - - - - - - - - ranking = 6keywords = disease (Clic here for more details about this article) |
10/197. endometriosis of the abdominal wall.endometriosis is ectopic endometrial tissue that responds to hormonal stimulation and is found 8-15 per cent of all menstruating women. Endometrioma in/or close to a surgical scar is rare and occurs in 0.1 per cent of women who underwent cesarean section. When localized at the abdominal wall, the disease presents as a painful swelling resembling other lesions, such as hernias, post-operative ventral hernias, hematomas, granulomas, abscesses, and tumors. endometriosis of the abdominal wall may not be considered in the differential diagnosis of masses detected in/or close cesarean scar. Three cases are reported here. All of them underwent surgery and the error of the pre-operative diagnosis was revealed by histology in two cases. Actually, only one case was suspected pre-operatively.- - - - - - - - - - ranking = 1keywords = disease (Clic here for more details about this article) |
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