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Open Access Highly Accessed Case Report

Cystic endosalpingiosis presenting as chronic back pain, a case report

Andreas H Scheel12*, Josef Frasunek3, Werner Meyer12 and Philipp Ströbel1

Author Affiliations

1 Department of Pathology, University Medical Center Göttingen, Göttingen, Germany

2 Institute of Pathology Nordhessen, Kassel, Germany

3 Department of Gynaecology, Helios Albert-Schweitzer-Klinik Northeim, Northeim, Germany

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Diagnostic Pathology 2013, 8:196  doi:10.1186/1746-1596-8-196

Published: 3 December 2013

Abstract

A 48-year old woman presented with chronic back pain. Previous examinations had been inconclusive. Gynaecological examination revealed large cystic masses on the fundus uteri and left adnexa. Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides. After uneventful laparoscopic-assisted vaginal hysterectomy the patient quickly recovered and was relieved of her chronic backache.

Virtual slides

http://www.diagnosticpathology.diagnomx.eu/vs/1501709091077524 webcite.

Keywords:
Cystic endosalpingiosis; Endometriosis; Chronic back pain; Pelvic tumour