Mpourazanis George, Laganà Antonio Simone, Tepelenis Kostas, Tsirkas Panagiotis, Gkrozou Fani, Paschopoulos Minas, Schulz-Wendtland Rüdiger, Ntanasis Apostolos, Korkontzelou Pantelina-Danai, Korkontzelos Ioannis
Department of Obstetrics and Gynecology, General Hospital of Ioannina G. Hatzikosta, Ioannina, GRC.
Unit of Gynecologic Oncology, ARNAS "Civico-Di Cristina-Benfratelli" Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, ITA.
Cureus. 2024 Dec 10;16(12):e75502. doi: 10.7759/cureus.75502. eCollection 2024 Dec.
This manuscript presents a case of a 35-year-old nulligravida premenopausal woman who presented with acute abdominal pain due to pelvic congestion syndrome (PCS). PCS is characterized by multiple pathophysiological mechanisms and various clinical presentations. Our patient was nulliparous with no history of abdominal surgery. However, diagnostic laparoscopy revealed endometriosis lesions on the uterovesical fold. Reporting this unusual case, we focus on the presenting symptoms, the imaging findings, and the final approach by diagnostic laparoscopy.
本文报告了一例35岁未孕的绝经前女性,因盆腔淤血综合征(PCS)出现急性腹痛。PCS具有多种病理生理机制和不同的临床表现。我们的患者未生育,无腹部手术史。然而,诊断性腹腔镜检查发现膀胱子宫襞有子宫内膜异位症病变。报告这一罕见病例时,我们重点关注其临床表现、影像学检查结果以及诊断性腹腔镜检查的最终方法。