Chatman D L, Zbella E A
Fertil Steril. 1986 Oct;46(4):711-4. doi: 10.1016/s0015-0282(16)49656-1.
Congenital or acquired defects in the mesentery are rare, and defects of the supporting structures and in the peritoneum of the pelvis are even more uncommon. Such pelvic peritoneal defects have been associated with endometriosis; however, the extent of this association has been unclear. In the present study, 309 patients had a diagnostic laparoscopy performed for pelvic pain in a prospective manner over a 2-year period. A total of 53 patients were found to have pelvic peritoneal defects. Seventy-nine percent of this group with peritoneal defects had associated endometriosis. Of the 309 patients undergoing laparoscopy, 148 patients were diagnosed as having endometriosis. Twenty-eight percent of this group with endometriosis had pelvic peritoneal defects. We conclude that when such defects are found at laparoscopy, the presence of endometriosis should be investigated thoroughly.
肠系膜的先天性或后天性缺陷较为罕见，而盆腔支持结构及腹膜的缺陷则更为少见。此类盆腔腹膜缺陷与子宫内膜异位症相关；然而，这种关联的程度尚不清楚。在本研究中，309例患者因盆腔疼痛在2年期间前瞻性地接受了诊断性腹腔镜检查。共发现53例患者存在盆腔腹膜缺陷。该腹膜缺陷组中79%伴有子宫内膜异位症。在接受腹腔镜检查的309例患者中，148例被诊断为患有子宫内膜异位症。该子宫内膜异位症组中28%有盆腔腹膜缺陷。我们得出结论，当在腹腔镜检查中发现此类缺陷时，应彻底调查是否存在子宫内膜异位症。
