Sanfilippo J S, Wakim N G, Schikler K N, Yussman M A
Am J Obstet Gynecol. 1986 Jan;154(1):39-43. doi: 10.1016/0002-9378(86)90389-3.
Endometriosis is frequently a chronic process, which may begin soon after menarche. The process may be enhanced by mechanical obstruction. Theories of retrograde menstruation and metaplasia still remain in vogue. Endometriosis is a cause of both acute and chronic pelvic pain in the adolescent. We present case reports of müllerian lateral wall fusion defects with surgical correction and evidence for resorption of endometriosis. Clinicians must be aware that patients with uterine anomalies may develop extensive endometriosis, which upon creation of an unobstructed outflow tract results in complete resorption. Furthermore, the mechanism of formation of endometriosis in association with an outflow tract obstruction may be very different from that associated with infertility. We recommend consideration of endometriosis and/or a reproductive tract abnormality in the adolescent with persistent pelvic pain.
子宫内膜异位症通常是一个慢性过程，可能在初潮后不久就开始。机械性梗阻可能会加剧这一过程。逆行月经和化生理论仍然流行。子宫内膜异位症是青少年急性和慢性盆腔疼痛的一个原因。我们报告了苗勒管侧壁融合缺陷并进行手术矫正以及子宫内膜异位症吸收证据的病例。临床医生必须意识到，子宫异常的患者可能会发展为广泛的子宫内膜异位症，在建立通畅的流出道后会导致完全吸收。此外，与流出道梗阻相关的子宫内膜异位症形成机制可能与与不孕相关的机制非常不同。我们建议对持续盆腔疼痛的青少年考虑子宫内膜异位症和/或生殖道异常。
