Title: Endosalpingiosis in a Young Female Presenting As Acute Abdomen: A Rare Clinical Presentation

Authors: Dr Rameshwari M Nisty*, Dr Saraswathi Ramesh, Dr M Ramesh

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i3.20

Abstract

We are reporting a case of Endosalpingiosis which presented as a cystic mass  and  peritoneal implants. Clinically and radiologically, this was interpreted as an ovarian tumor. Mullerianosis is a very rare benign tumor-like lesion. Awareness of this lesion is necessary to avoid misdiagnosis by clinicians, radiologists, and pathologists.

Keywords: Endosalpingiosis , Mullerianosis , Fallopian tube disease.

References

1.      Sampson JA. Postsalpingectomy endometriosis (endosalpingiosis) Am J Obstet Gynecol.1930;20:443–480.

2.      Apostolidis S, Michalopoulos A, Papavramidis TS, Papadopoulos VN, Paramythiotis D, Harlaftis N. Inguinal endometriosis: three cases and literature review. South Med J. 2009;102:206–207. 

3.      Edmondson JD, Vogeley KJ, Howell JD, Koontz WW, Koo HP, Amaker B. Endosalpingiosis of bladder. J Urol. 2002;167:1401–1402. doi: 10.1016/S0022-5347(05)65318-9. 

4.      Butterworth S, Stewart M, Clark JV. Heterotopic ciliated epithelium - Müllerian origin? Lancet.1970;1:1400–1401. doi: 10.1016/S0140-6736(70)91311-5. 

5.      Redondo P, Idoate M, Corella C. Cutaneous umbilical endosalpingiosis with severe abdominal pain. J Eur Acad Dermatol Venereol. 2001;15:179–180. doi: 10.1046/j.1468-3083.2001.00263.x

6.      Bermejo R, Gomez A. Peritoneal Mullerian Tumor-Like (Endosalpingiosis-Leiomyomatosis Peritoneal): A Hardly Known Entity. Case Rep Obstet Gynecol. 2012;2012:329416. 

7.      Clausen I. Peritoneal endosalpingio-sis. Zentralbl Gynakol. 1991;113(6):329–32. 

8.      Fukunaga M. Tumor-like cystic endosalpingiosis of the uterus with florid epithelial proliferation. A case report. APMIS. 2004;112(1):45–48. 

9.      Heatley MK, Russel P. Florid cystic endosalpingiosis of the uterus. J Clin Pathol. 2001;54(5):399–400

10.  Prentice L, Stewart A. What is endosalpingiosis? Fertil Steril. 2012;98(4):942–47. 

11.  Singh N, Murali S. Florid cystic endosalpingiosis, masquerading as malignancy in a young patient: a brief review. BMJ Case Rep, 2014. 2014; pii:bcr2013201645. 

12.  Junsik P , Tae-Heekum, Endosalpingiosis in postmenopausal elderly. J Menopausal Med 2014 Apr 20 (1):32-34

13.  Heinig J, Gattschalk I. Endosalpingiosis-an underestimated cause of chronic pelvic pain or an accidental finding? A retrospective study of 16 cases. Eur J Obstet Gynecol Reprod Biol. 2002; 103(1):75–78]

14.  Hemalatha , Ashok J Clin Diag Res 2014 Oct 8 (10) FD06 – FD07

15.  Georg Fleckenstein,Wolfgang Hey et al , Surgical management of endosalpingiosis with tubovaginal fistulization after hysterectomy by a combined laparoscopic-vaginal route, and histological findings. Gynaecological Endoscopy Volume 10, Issue 2, pages 131–136, April 2001

16. Pattomthadathil Sankaran Jayalakshmy,  Shasi Velusamy, and Joy Augustine , Multiloculated cystic Mullerianosis of uterus: A case report , J Turk Ger Gynecol Assoc. 2014; 15(3): 197–200

Corresponding Author

Dr Rameshwari M Nisty

Department of Mininally Invasive Gynaecology

B.E.S.T Institute and Research Centre, A V Hospital Bangalore, India