Tubal Endometriosis Diagnosed within One Month after Menarche: A Case Report
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KAICHIRO YAMAMOTO, YOHJI
MITSUHASHI, TETSUJI TAKAIKE,
KIKUYA TAKASE, HIROSHI HOSHIAI
and KIICHIRO NODA
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Department of Obstetrics and Gynecology, Kinki University School of Medicine, Osaka-Sayama, Osaka 589
A 13-year-old nulligravida girl, 158.5 cm in height and 76.0 kg in body weight, came to our department
complaining of continuous right lower abdominal pain. One month earlier, an ovarian cyst in the right ovary,
about 3 cm in diameter, was found when she underwent appendectomy at another hospital, but was left
untreated. Menarche occurred at the age of 13 years and 1 month, which was after the appendectomy and 24
days before the present operation. Right hematosalpinx with peripheral obstruction and a para-ovarian serous
cyst on the same side were diagnosed, and therefore right salpingectomy with para-ovarian cyst resection was
performed. The bilateral ovaries and uterus were completely normal by inspection. The post operative
histological examination confirmed hematosalpinx and revealed tubal endometriosis.
Key words---
endometriosis; adolescent
Tohoku J. Exp. Med., 1997, 181, 385-387
Address for reprints:
Kaichiro Yamamoto, M.D., Department of Obstetrics and Gynecology, Kinki University School of Medicine,
377-2 Ohnohigashi, Osaka-Sayama, Osaka 589, Japan.
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