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- Title
'Blood On The Tracks' from corpora lutea to endometriomas.
- Authors
Vercellini P; Somigliana E; Vigano P; Abbiati A; Barbara G; Fedele L; Vercellini, P; Somigliana, E; Vigano, P; Abbiati, A; Barbara, G; Fedele, L
- Abstract
<bold>Objective: </bold>To detect a direct transition from a haemorrhagic corpus luteum to an endometriotic cyst by serial transvaginal ultrasonographic scans. <bold>Design: </bold>Prospective observational study. <bold>Setting: </bold>An academic tertiary care and referral centre for women with endometriosis. <bold>Population: </bold>One hundred and nine women younger than 40 years, with regular menstrual cycles, undergoing first-line surgery for endometriomas, and not wanting postoperative oral contraception. <bold>Methods: </bold>Three-monthly transvaginal ultrasonography during the luteal phase for 2 years after surgery. <bold>Main Outcome Measure: </bold>Sonographic identification of progression from a haemorrhagic corpus luteum to a recurrent endometriotic cyst. <bold>Results: </bold>A haemorrhagic corpus luteum was identified in 13 women. Serial ultrasonographic scans demonstrated transition to an endometriotic cyst in 11 (85%) instances and resorption in two. A unilateral endometriotic cyst without previous detection of a cystic corpus luteum was observed in 14 women. <bold>Conclusions: </bold>Bleeding from a corpus luteum appears to be a critical event in the development of endometriomas.
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2009, Vol 116, Issue 3, p366
- ISSN
1470-0328
- Publication type
journal article
- DOI
10.1111/j.1471-0528.2008.02055.x