Imen Ghaddab, Haifa Bergaoui, Dhekra Toumi, Chayma Cheikh Mohamed, Amal Bayar, Raja Faleh
Department of Gynecology and Obstetrics, Fatouma Bourguiba University Hospital, Tunisia.
Department of Gynecology and Obstetrics, Fatouma Bourguiba University Hospital, Tunisia.
Int J Surg Case Rep. 2025 Feb;127:110840. doi: 10.1016/j.ijscr.2025.110840. Epub 2025 Jan 8.
Cystic endosalpingiosis is a rare, benign condition characterized by the presence of fallopian tube-like epithelium outside the fallopian tubes. It predominantly affects menopausal women and is often asymptomatic. Florid cystic endosalpingiosis, an unusual form, can mimic malignant ovarian masses, making accurate diagnosis crucial.
We present a 48-year-old postmenopausal woman with chronic pelvic pain, found to have a suspicious multicystic mass during ultrasound. Laparoscopic exploration revealed extensive cystic endosalpingiosis involving the uterine surface and left adnexa. Histopathological analysis confirmed the diagnosis.
Endosalpingiosis often presents a diagnostic challenge due to its nonspecific symptoms and potential to mimic neoplastic conditions. This case underscores the need for histological examination to differentiate between benign and malignant pelvic masses. Surgical resection is recommended for symptomatic cases, while asymptomatic ones may not require intervention.
Florid cystic endosalpingiosis should be considered in the differential diagnosis of multicystic pelvic masses in menopausal women. Accurate histological diagnosis is essential to exclude malignancy and guide appropriate management.
囊性输卵管内膜异位症是一种罕见的良性疾病，其特征是在输卵管外存在类似输卵管的上皮组织。它主要影响绝经后女性，且通常无症状。典型的囊性输卵管内膜异位症是一种不寻常的形式，可类似恶性卵巢肿块，因此准确诊断至关重要。
我们报告一名48岁的绝经后女性，患有慢性盆腔疼痛，超声检查发现有可疑的多囊性肿块。腹腔镜探查显示广泛的囊性输卵管内膜异位症累及子宫表面和左侧附件。组织病理学分析确诊了该疾病。
由于输卵管内膜异位症症状不具特异性且有类似肿瘤性疾病的可能，常带来诊断挑战。该病例强调了组织学检查对于区分良性和恶性盆腔肿块的必要性。有症状的病例建议手术切除，而无症状的病例可能无需干预。
在绝经后女性多囊性盆腔肿块的鉴别诊断中应考虑典型的囊性输卵管内膜异位症。准确的组织学诊断对于排除恶性肿瘤及指导恰当的治疗至关重要。
