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EMAK
Century Club
Joined: 26 Nov 2006
Posts: 572
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 Posted: Sat Jan 13, 2007 10:43 pm Post subject: Endometriosis |
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it is more common in mullarian duct abnormality......it is solved as false..but I think it is true especially when there is cervical agenesis or radimantary horn with blind end from one side and F .tube from other side....
Nick,
Brow,
Raj,
ventose,
any other opinion |
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bronwyn
Century Club
Joined: 19 Jul 2006
Posts: 144
Location: Alton, Hampshire
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| Posted: Sun Jan 14, 2007 10:36 am Post subject: |
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I'd say True EMAK
Most documented cases of endometriosis in girls under the age of 17 are associated with mullerian-duct anomalies and cervical or vaginal obstruction. (From an article in NEJM a long while ago)
Where are you getting your answers from?
B
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Bronwyn Bell
SpR
Portsmouth |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 973
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| Posted: Sun Jan 14, 2007 12:01 pm Post subject: |
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hi,
depends on if the anomaly is obstructive or non obstructive....
L Fedele, S Bianchi, G Di Nola, D Franchi, and GB Candiani. Endometriosis and nonobstructive mullerian anomalies. Obstetrics & Gynecology 1992;79:515-517 © 1992 by The American College of Obstetricians and Gynecologists. ----
'results seem to exclude a common pathogenetic factor underlying endometriosis and nonobstructive mullerian anomalies.'
Ugur M, Turan C, Mungan T, Kuscu E, Senoz S, Agis HT, Gokmen O. Endometriosis in association with mullerian anomalies. Gynecol Obstet Invest. 1995;40(4):261-4. ---
' Obstructive anomalies were associated more with endometriosis as compared with nonobstructive anomalies (p < 0.001).' ---------
--------this will also fit in with the retrograde menstruation theory of endometriosis.
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1862
Location: Nottingham
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| Posted: Sun Jan 14, 2007 9:19 pm Post subject: |
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Great work guys - all of you. Good question and great reasoned answers.
Anomalies are definitely associated with endometriosis.
In keeping with Sampson's theory (which cannot be true  ) I do agree with Raj that the relationship probably requires a degree of outflow obstruction.
I would say true to anomalies and outflow obstruction and false if it said uterine anomaly without outflow obstruction such as an arcuate or subseptate uterus.
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