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Additional info for Atlas of Endometriosis, Third Edition ( Encyclopedia of Visual Medicine)
12). The histopathology of ovarian endometriosis is characterised by a large variation in the amount of endometrial tissue. 15). No specific pathology can be found in up to one-third of clinically typical endometriosis cases, and these cysts are classified as haemorrhagic cysts (compatible with endometriosis). Both types of ovarian endometriosis are associated commonly with adhesion formation, and endometriosis should be suspected clinically if the ovary is adherent to the ovarian fossa. 11 Haemosiderin-laden macrophages giving the typical brown appearance of a chocolate cyst.
7). The presence of other signs of endometriosis can help to distinguish between functional cysts and endometriosis. 9). Other features, such as the site of the cyst on the lateral surface of the ovary, haemorrhagic adhesions and the puckering scar formation, indicate an endometriotic cyst. Haemorrhagic cysts of a different origin often contain large blood clots or even fresh haemorrhage, which is unlikely to be present with endometriosis. However, these characteristics can be lacking at laparoscopy, making it impossible to diagnose the endometriotic origin of the cyst without histological proof.
Am J Obstet Gynecol 1977; 129: 245–50. 43. Wardle PG, Foster PA, Mitchell JD et al. Endometriosis and in vitro fertilisation: effect of prior therapy. Lancet 1986; 1: 276–7. 59. Kerr SW. Endometriosis involving the urinary tract. Clin Obstet Gynecol 1966; 9: 331–57. qxp 7/25/2007 7:32 PM Page 25 CHAPTER 4 Clinical findings INTRODUCTION The possibility of endometriosis should be considered in any woman presenting with infertility or with worsening dysmenorrhoea, pelvic pain or dyspareunia. There may be other cyclical symptoms, particularly related to the gastrointestinal or urogenital system.