Atypical deep infiltrating endometriosis

Case contributed by Dr Lukas Valkovic


Young female with pelvic pain. US and clinical examination found a mass in rectovaginal septum.

Patient Data

Age: 29
Gender: Female

Mass in cul-de-sac region with a somewhat glandular appearance, surrounded by fibrosis and with a retraction effect on cervix and rectosigmoid colon. No signs of bleeding detected, with only one small hemorrhagic cyst on right ovary. 

Case Discussion

This is a rather atypical case of endometriosis with a large mass infiltrating the uterus (cervix and isthmus) and rectosigmoid colon. There is no evidence of bleeding within the expansion, which is a typical sign of endometrioma. However, there is fibrosis with retraction effect. Glandular appearance is also very rare in endometriosis. Transvaginal biopsy confirmed the diagnosis of endometriosis. 

PlayAdd to Share

Case information

rID: 44470
Published: 23rd Apr 2016
Last edited: 16th Jul 2018
System: Gynaecology
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.