A28-year-old female patient presented with lower abdominal pain along with dysmenorrhea. The following finding was seen on laparoscopic examination. What is the likely diagnosis?
A. Krukenberg tumor
B. Polycystic ovaries
D. Cystadenoma of ovary
Ans: C. Endometriosis
(Ref Shaw’s 16/e p413-414, 157e p471,.Novaks 13/e p3662.
- Highly suggestive of endometriosis.
- Caused by endometriosis.
- Formed by tiny patch of endometrial tissue.
- Mucous membrane building on inner uterine wall layer→ bleeds, sloughs off, → transplanted & grows → enlarges inside ovaries.
- On blood building up → turns brown.
- On rupture → material spills over into pelvis & onto surface of uterus, bladder, bowel & corresponding spaces in between.