ENDOMETRIOSIS

Endometriotic Case 1

Patient X, 34 years P0L0 female came with primary infertility,
dysmenorrhoea since 2 years On examination:
GPE: normal
Per abdomen: soft, no mass palpable , non tense, non tender
Per vaginal : Uterus anteverted, normal size, mobility restricted, left fornix mass fullness present
USG:1.6 *2.2 cm left ovarian endometriotic cyst with
Diagnosis: P0L0 , primary infertility left endometriotic cyst
Procedure done: Diagnostic and operative laparoscopy with left endometriotic ovarian cystectomy, with adhesiolysis, fulguration of endometriotic implants with CPT

Endometriotic Case 2

Patient X, 26 years P0L0 female came with primary infertility since 2 years .
On examination:
GPE: normal
Per abdomen: soft, no mass palpable , non tense, non tender
Per vaginal : Uterus anteverted, normal size, mobility restricted, left fornix mass fullness present
USG: 3.7 *5.2 cm thin walled left ovarian cyst with low level internal echos
Diagnosis: P0L0 , primary infertility , bilateral endometriotic cyst
Procedure done: Diagnostic and operative laparoscopy with bilateral endometriotic ovarian cystectomy, with adhesiolysis

Endometriotic Case 3

Patient X, 41 years P2L2 previous 2 LSCS female came with c/o pain abdomen since 6 months.
On examination:
GPE: normal
Per abdomen: soft, no mass palpable , non tense, non tender
Per vaginal : Uterus anteverted, normal size, mobility restricted, right fornix mass present 4*5 cm
USG: Right ovarian endometriotic cyst 4.2 * 4.7 cm
Diagnosis: P2L2 previous 2 LSCS with right endometriotic cyst Procedure done: Diagnostic and operative laparoscopy with right salphingo oopherectomy, with adhesiolysis, fulguration of
endometriotic implants.

Endometriotic Case 4

Patient X, 49 years female P2L2 previous LSCS , prev open cholecystectomy came with c/o menorrhagia, dysmenorrhoea 6 months.
On examination:
GPE: normal
Per abdomen: soft, no mass palpable , non tense, non tender
Per vaginal : Uterus anteverted, size, mobility restricted,
USG: 2*2.3 cm right endometriotic cysts
Diagnosis: P2L2 previous LSCS with adenomyosis, bilateral tubo ovarian mass
Procedure done: Diagnostic and operative laparoscopy, total laparoscopic hystectomy with bilateral salphingo oopherectomy, with adhesiolysis .