Acién P
Gynecol Obstet Invest. 1986;22(2):102-7. doi: 10.1159/000298899.
Six cases with a coexistence of endometriosis and genital anomalies among 112 patients with external endometriosis and 90 patients with genital anomaly were detected. Three cases of severe endometriosis associated with uterovaginal duplication, unilateral renal agenesis and ipsilateral blind vagina and the latter in a patient with Rokitansky-Kuster-Hauser syndrome are presented. Another case with obstructive genital anomaly without endometriosis is also presented. The histogenetic mechanisms of endometriosis are discussed. The transplantation theory is not sufficient to explain all the cases and, therefore, the theory of celomic metaplasia and the theory of müllerian remains or Cullen's theory, as well as the intervention of genetic-constitutional, immunologic, hormonal and other factors must also be considered.
在112例外部子宫内膜异位症患者和90例生殖器异常患者中，检测到6例同时存在子宫内膜异位症和生殖器异常。本文报告了3例严重子宫内膜异位症合并子宫阴道重复畸形、单侧肾缺如和同侧盲阴道的病例，以及1例患有罗基坦斯基-库斯特-豪泽综合征患者的此类病例。还报告了1例无子宫内膜异位症的梗阻性生殖器异常病例。文中讨论了子宫内膜异位症的组织发生机制。移植理论不足以解释所有病例，因此，还必须考虑体腔化生理论、苗勒管遗迹理论或卡伦理论，以及遗传体质、免疫、激素和其他因素的干预。
