Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292 |
Resumo: | Introduction: Endosalpingiosis is a rare benign condition characterized by the presence of tubal epithelium outside the Fallopian tube. The clinical presentation of endosalpingiosis is nonspecific, and the diagnosis is typically incidental in women undergoing surgery for pelvic pain, infertility, urinary symptoms, or a pelvic mass. It can only be confirmed with histopathological examination.Case Report: We report the first case of uterine florid cystic endosalpingiosis, with unusual hysteroscopic findings. We reviewed all the published cases of uterine florid cystic endosalpingiosis and their clinical presentation including hysteroscopic characteristics. It is a rare benign condition, with only 32 cases described in the literature. This is the first hysteroscopic description of this condition to be made.Discussion: The patient first underwent a hysteroscopy and a leiomyoma resection when she was 51 years old. At 55, she went through another hysteroscopy, and a polypoid lesion was excised. A third hysteroscopy, one year later, revealed a new polypoid lesion in a similar location. After the initial incisions, this polypoid lesion disappeared. By decreasing the intrauterine pressure, it became visible again, corresponding histologically to an endometrial polyp with tubal metaplasia. At last, she underwent a laparoscopic hysterectomy with a final histopathological diagnosis of uterine florid cystic endosalpingiosis.Conclusion: Florid cystic endosalpingiosis is a rare condition that may be associated with several bizarre hysteroscopic findings. |
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Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published CasesAchados Histeroscópicos Incomuns Relacionados com a Avaliação e Tratamento da Endossalpingiose Cística Florida do Útero: Um Relato de Caso e Revisão de Todos os Casos PublicadosFallopian Tube Diseases/diagnosisFallopian Tube Diseases/therapyGynecologic Surgical ProceduresDoenças da Trompa de Falópio/diagnósticoDoenças da Trompa de Falópio/tratamentoProcedimentos Cirúrgicos em GinecologiaIntroduction: Endosalpingiosis is a rare benign condition characterized by the presence of tubal epithelium outside the Fallopian tube. The clinical presentation of endosalpingiosis is nonspecific, and the diagnosis is typically incidental in women undergoing surgery for pelvic pain, infertility, urinary symptoms, or a pelvic mass. It can only be confirmed with histopathological examination.Case Report: We report the first case of uterine florid cystic endosalpingiosis, with unusual hysteroscopic findings. We reviewed all the published cases of uterine florid cystic endosalpingiosis and their clinical presentation including hysteroscopic characteristics. It is a rare benign condition, with only 32 cases described in the literature. This is the first hysteroscopic description of this condition to be made.Discussion: The patient first underwent a hysteroscopy and a leiomyoma resection when she was 51 years old. At 55, she went through another hysteroscopy, and a polypoid lesion was excised. A third hysteroscopy, one year later, revealed a new polypoid lesion in a similar location. After the initial incisions, this polypoid lesion disappeared. By decreasing the intrauterine pressure, it became visible again, corresponding histologically to an endometrial polyp with tubal metaplasia. At last, she underwent a laparoscopic hysterectomy with a final histopathological diagnosis of uterine florid cystic endosalpingiosis.Conclusion: Florid cystic endosalpingiosis is a rare condition that may be associated with several bizarre hysteroscopic findings.Introdução: A endossalpingiose é uma condição benigna rara caracterizada pela presença de epitélio tubário fora da trompa de Falópio. A apresentação clínica da endossalpingiose é inespecífica e o diagnóstico é geralmente incidental em mulheres submetidas a cirurgia por dor pélvica, infertilidade, sintomas urinários ou massa pélvica. O diagnostico só pode ser confirmado com exame histopatológico.Caso Clínico: Relatamos o primeiro caso de endosalpingiose cística florida uterina, no qual se encontrou achados histeroscópicos incomuns. Foram revistos todos os casos publicados de endosalpingiose cística florida uterina e suas apresentações clínicas, incluindo características histeroscópicas. Trata-se de uma condição benigna rara, com apenas 32 casos descritos na literatura. Apresentamos a primeira descrição histeroscópica desta patologia.Discussão: A doente foi submetida a uma primeira histeroscopia e resseção de leiomioma aos 51 anos de idade. Com 55, realizou uma nova histeroscopia e removeu uma lesão polipóide. Uma terceira histeroscopia, um ano depois, revelou uma nova lesão polipóide num local semelhante. Após as incisões iniciais, essa lesão polipóide desapareceu. Ao diminuir a pressão intrauterina, tornou-se visível novamente, correspondendo histologicamente a um pólipo endometrial com metaplasia tubária. A doente foi submetida a uma histerectomia laparoscópica com diagnóstico histopatológico final de endosalpingiose cística florida uterina. Foram revistos todos os casos publicados de endosalpingiose cística florida uterina e suas apresentações clínicas, incluindo características histeroscópicas.Conclusão: A endosalpingiose cística florida uterina é uma condição rara que pode estar associada a achados histeroscópicos bizarros.Ordem dos Médicos2021-12-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292oai:ojs.www.actamedicaportuguesa.com:article/14292Acta Médica Portuguesa; Vol. 34 No. 12 (2021): Dezembro; 868-873Acta Médica Portuguesa; Vol. 34 N.º 12 (2021): Dezembro; 868-8731646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292/6138https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292/6139Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessPeixinho, CatarinaMachado-Neves, RaquelSilva, Pedro TiagoBernardes, JoãoSilva, Ana CatarinaAmaro, Teresina2022-12-20T11:07:10Zoai:ojs.www.actamedicaportuguesa.com:article/14292Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:27.408458Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases Achados Histeroscópicos Incomuns Relacionados com a Avaliação e Tratamento da Endossalpingiose Cística Florida do Útero: Um Relato de Caso e Revisão de Todos os Casos Publicados |
title |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases |
spellingShingle |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases Peixinho, Catarina Fallopian Tube Diseases/diagnosis Fallopian Tube Diseases/therapy Gynecologic Surgical Procedures Doenças da Trompa de Falópio/diagnóstico Doenças da Trompa de Falópio/tratamento Procedimentos Cirúrgicos em Ginecologia |
title_short |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases |
title_full |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases |
title_fullStr |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases |
title_full_unstemmed |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases |
title_sort |
Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases |
author |
Peixinho, Catarina |
author_facet |
Peixinho, Catarina Machado-Neves, Raquel Silva, Pedro Tiago Bernardes, João Silva, Ana Catarina Amaro, Teresina |
author_role |
author |
author2 |
Machado-Neves, Raquel Silva, Pedro Tiago Bernardes, João Silva, Ana Catarina Amaro, Teresina |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Peixinho, Catarina Machado-Neves, Raquel Silva, Pedro Tiago Bernardes, João Silva, Ana Catarina Amaro, Teresina |
dc.subject.por.fl_str_mv |
Fallopian Tube Diseases/diagnosis Fallopian Tube Diseases/therapy Gynecologic Surgical Procedures Doenças da Trompa de Falópio/diagnóstico Doenças da Trompa de Falópio/tratamento Procedimentos Cirúrgicos em Ginecologia |
topic |
Fallopian Tube Diseases/diagnosis Fallopian Tube Diseases/therapy Gynecologic Surgical Procedures Doenças da Trompa de Falópio/diagnóstico Doenças da Trompa de Falópio/tratamento Procedimentos Cirúrgicos em Ginecologia |
description |
Introduction: Endosalpingiosis is a rare benign condition characterized by the presence of tubal epithelium outside the Fallopian tube. The clinical presentation of endosalpingiosis is nonspecific, and the diagnosis is typically incidental in women undergoing surgery for pelvic pain, infertility, urinary symptoms, or a pelvic mass. It can only be confirmed with histopathological examination.Case Report: We report the first case of uterine florid cystic endosalpingiosis, with unusual hysteroscopic findings. We reviewed all the published cases of uterine florid cystic endosalpingiosis and their clinical presentation including hysteroscopic characteristics. It is a rare benign condition, with only 32 cases described in the literature. This is the first hysteroscopic description of this condition to be made.Discussion: The patient first underwent a hysteroscopy and a leiomyoma resection when she was 51 years old. At 55, she went through another hysteroscopy, and a polypoid lesion was excised. A third hysteroscopy, one year later, revealed a new polypoid lesion in a similar location. After the initial incisions, this polypoid lesion disappeared. By decreasing the intrauterine pressure, it became visible again, corresponding histologically to an endometrial polyp with tubal metaplasia. At last, she underwent a laparoscopic hysterectomy with a final histopathological diagnosis of uterine florid cystic endosalpingiosis.Conclusion: Florid cystic endosalpingiosis is a rare condition that may be associated with several bizarre hysteroscopic findings. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-02 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292 oai:ojs.www.actamedicaportuguesa.com:article/14292 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/14292 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292/6138 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292/6139 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2020 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 34 No. 12 (2021): Dezembro; 868-873 Acta Médica Portuguesa; Vol. 34 N.º 12 (2021): Dezembro; 868-873 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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