Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature
Background: A peculiar complication of endometriosis is a superinfection. However, the superinfection of extra-ovarian endometriosis is anecdotal, and only a few cases have been described. We wanted to present the first cases of the superinfection of rectovaginal endometriosis and to perform a liter...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/9/1514 |
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| author | Marta Barba Andrea Morciano Tomaso Melocchi Alice Cola Alessandra Inzoli Paolo Passoni Matteo Frigerio |
| author_facet | Marta Barba Andrea Morciano Tomaso Melocchi Alice Cola Alessandra Inzoli Paolo Passoni Matteo Frigerio |
| author_sort | Marta Barba |
| collection | DOAJ |
| description | Background: A peculiar complication of endometriosis is a superinfection. However, the superinfection of extra-ovarian endometriosis is anecdotal, and only a few cases have been described. We wanted to present the first cases of the superinfection of rectovaginal endometriosis and to perform a literature review of the superinfection of extra-ovarian endometriosis. Methods: We present a case of a 24-year-old woman who was referred to our Pelvic Floor Unit for rectal–perineal pain, dyspareunia, and recurrent episodes of dense purulent vaginal discharge for one year, in which the superinfection of rectovaginal endometriosis was diagnosed. Moreover, we performed a systematic search of the literature indexed on PubMed up to 31 January 2023. Results: Laparoscopic drainage was successful in managing this condition. In the literature, clinical presentation and instrumental and microbiological findings are very heterogeneous. However, the gold standard of management is represented by surgical or percutaneous drainage. Conclusions: In the case of a pelvic abscess, the superinfection of endometriosis lesions should be suspected, and this can represent the onset symptom of endometriosis. Ultrasonography may show nodular or flat hypoechoic lesions with hyperechoic debris and peripheral positive color/power Doppler intensities. The goal of management is to drain the abscess, either percutaneously or via traditional surgery, followed by proper hormonal therapy to reduce recurrence. |
| first_indexed | 2024-03-11T04:20:49Z |
| format | Article |
| id | doaj.art-11a7fc182b9940608b385f701f1c3c5d |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T04:20:49Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-11a7fc182b9940608b385f701f1c3c5d2023-11-17T22:44:43ZengMDPI AGDiagnostics2075-44182023-04-01139151410.3390/diagnostics13091514Superinfection of Rectovaginal Endometriosis: Case Report and Review of the LiteratureMarta Barba0Andrea Morciano1Tomaso Melocchi2Alice Cola3Alessandra Inzoli4Paolo Passoni5Matteo Frigerio6Department of Gynecology and Obstetrics, Pelvic Floor Center, Fondazione IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, 20900 Monza, ItalyDepartment of Gynecology and Obstetrics, Panico Pelvic Floor Center, Pia Fondazione “Cardinale G. Panico”, 73039 Tricase, ItalyDepartment of Gynecology and Obstetrics, Pelvic Floor Center, Fondazione IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, 20900 Monza, ItalyDepartment of Gynecology and Obstetrics, Pelvic Floor Center, Fondazione IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, 20900 Monza, ItalyDepartment of Gynecology and Obstetrics, IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, 20900 Monza, ItalyDepartment of Gynecology and Obstetrics, Fondazione IRCCS San Gerardo dei Tintori, ASST Monza, Ospedale San Gerardo, 20900 Monza, ItalyDepartment of Gynecology and Obstetrics, Pelvic Floor Center, Fondazione IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, 20900 Monza, ItalyBackground: A peculiar complication of endometriosis is a superinfection. However, the superinfection of extra-ovarian endometriosis is anecdotal, and only a few cases have been described. We wanted to present the first cases of the superinfection of rectovaginal endometriosis and to perform a literature review of the superinfection of extra-ovarian endometriosis. Methods: We present a case of a 24-year-old woman who was referred to our Pelvic Floor Unit for rectal–perineal pain, dyspareunia, and recurrent episodes of dense purulent vaginal discharge for one year, in which the superinfection of rectovaginal endometriosis was diagnosed. Moreover, we performed a systematic search of the literature indexed on PubMed up to 31 January 2023. Results: Laparoscopic drainage was successful in managing this condition. In the literature, clinical presentation and instrumental and microbiological findings are very heterogeneous. However, the gold standard of management is represented by surgical or percutaneous drainage. Conclusions: In the case of a pelvic abscess, the superinfection of endometriosis lesions should be suspected, and this can represent the onset symptom of endometriosis. Ultrasonography may show nodular or flat hypoechoic lesions with hyperechoic debris and peripheral positive color/power Doppler intensities. The goal of management is to drain the abscess, either percutaneously or via traditional surgery, followed by proper hormonal therapy to reduce recurrence.https://www.mdpi.com/2075-4418/13/9/1514endometriosischronic pelvic painsurgerypelvic floor ultrasoundrectovaginal spacelaparoscopy |
| spellingShingle | Marta Barba Andrea Morciano Tomaso Melocchi Alice Cola Alessandra Inzoli Paolo Passoni Matteo Frigerio Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature Diagnostics endometriosis chronic pelvic pain surgery pelvic floor ultrasound rectovaginal space laparoscopy |
| title | Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature |
| title_full | Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature |
| title_fullStr | Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature |
| title_full_unstemmed | Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature |
| title_short | Superinfection of Rectovaginal Endometriosis: Case Report and Review of the Literature |
| title_sort | superinfection of rectovaginal endometriosis case report and review of the literature |
| topic | endometriosis chronic pelvic pain surgery pelvic floor ultrasound rectovaginal space laparoscopy |
| url | https://www.mdpi.com/2075-4418/13/9/1514 |
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