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The Prevalence of Deciduosis in Fertile Women during Cesarean Delivery
S100
Abstracts / Journal of Minimally Invasive Gynecology 15 (2008) S1eS159 developed multiple cysts were noted at the same site. The volume of the cysts was reduced by aspiration and then hysterctomy was proceeded. Postoperative recovery was uneventful. Microscopic examination result of these cysts was endometrioma. Conclusion: Usually, Endometriosis, in the form of cyst, is created in broad ligaments, ovaries, fallopian tubes or uterosacral ligaments. Also, as extrapelvic lesion, umbilicus, vagina, vulva, perineum, abdominal wall with previous incision scar are included as possible endometrioma formation site. We experienced a case of endometrioma that was located on uterine incision scar of previous Caesarean section, finally treated with open total hysterectomy.
378 The Prevalence of Deciduosis in Fertile Women during Cesarean Delivery Kim HJ, Kim MJ, Song JY, Kim MR, Kim YT. Endocrinologic Part of Gynecology, The Catholic University of Seoul, Kangnam St’s Mary’ Hospital, Seoul, Republic of Korea Study Objective: Ectopic decidua (deciduosis) arises from a progesteroneinduced metaplasia of the pluripotential cells of the ‘‘subcelomic mesenchyma’’ or suggesting preexisting pelvic endometriosis. We investigated the prevalence of deciduosis among women with and without prior endometriosis during cesarean section. Design: The prevalence of deciduosis was investigated in biopsies taken during cesarean sections in 154 cases from January 1990 to December 2003. Setting: At department of Obstetrics and Gynecology, the Catholic University of Korea, Kangnam St. Mary’s Hospital. Patients: 154 women who were pregnant. Intervention: Investigated in biopsies taken during cesarean section, combined with retrospective cahrt review. Measurements and Main Results: An ectopic decidua of various abdominal organs was present in 66 cases (70.2%), biopsies showed deciduosis. Ovary (63.8%) is the most frequently involved organ and then uterine serosa (22.4%), pelvic peritoneum showed deciduosis in following order. The 27 cases of them (40.9%) have been diagnosed as pelvic endometriosis prior their pregnancy, none of the others (39 cases, 59.1%) is diagnosed as pelvic endometriosis prior their pregnancy. Manifestations of women with deciduosis during pregnancy with/without prior other operations
No (%) age (yrs) preop. CA125 postop. CA125
prior endometriosis Hx.
no prior endometriosis Hx.
p-value
28(42.4%) 32.321 4.55 55.96 99.70 13.94 14.03
38(57.6%) 31.474 3.05 18.34 9.93 10.83 6.96
0.368 0.142 0.357
Conclusion: As pregnancy-associated mesenchymal metaplasias, ectopic decidua, fibrosing deciduosis depend on hormone and may regress post partum. However, long- term follow up is necessary for those women with deciduosis during pregnancy.
379 The Influence of Adenomyosis in Patients Laparoscopically Treated for Deep Endometriosis Landi S, Mereu L, Barbieri F, Fiaccavento A, Minelli L. Ob Gyn, Ospedale Sacro Cuore, Negrar, Verona, Italy Study Objective: To evaluate if and how the presence of concurrent adenomyosis can affect the outcomes of laparoscopic complete excision of deep endometriosis. Design: Retrospective comparative study. Setting: General hospital. Patients: From Jan 2003 to Jul 2005, 40 consecutive patenets affected by concomitant endoemtriosis and adenomyosis were consecutively included in group A and other 40 affected by endometriosis only in th egroup B.
Abstracts / Journal of Minimally Invasive Gynecology 15 (2008) S1eS159 developed multiple cysts were noted at the same site. The volume of the cysts was reduced by aspiration and then hysterctomy was proceeded. Postoperative recovery was uneventful. Microscopic examination result of these cysts was endometrioma. Conclusion: Usually, Endometriosis, in the form of cyst, is created in broad ligaments, ovaries, fallopian tubes or uterosacral ligaments. Also, as extrapelvic lesion, umbilicus, vagina, vulva, perineum, abdominal wall with previous incision scar are included as possible endometrioma formation site. We experienced a case of endometrioma that was located on uterine incision scar of previous Caesarean section, finally treated with open total hysterectomy.
378 The Prevalence of Deciduosis in Fertile Women during Cesarean Delivery Kim HJ, Kim MJ, Song JY, Kim MR, Kim YT. Endocrinologic Part of Gynecology, The Catholic University of Seoul, Kangnam St’s Mary’ Hospital, Seoul, Republic of Korea Study Objective: Ectopic decidua (deciduosis) arises from a progesteroneinduced metaplasia of the pluripotential cells of the ‘‘subcelomic mesenchyma’’ or suggesting preexisting pelvic endometriosis. We investigated the prevalence of deciduosis among women with and without prior endometriosis during cesarean section. Design: The prevalence of deciduosis was investigated in biopsies taken during cesarean sections in 154 cases from January 1990 to December 2003. Setting: At department of Obstetrics and Gynecology, the Catholic University of Korea, Kangnam St. Mary’s Hospital. Patients: 154 women who were pregnant. Intervention: Investigated in biopsies taken during cesarean section, combined with retrospective cahrt review. Measurements and Main Results: An ectopic decidua of various abdominal organs was present in 66 cases (70.2%), biopsies showed deciduosis. Ovary (63.8%) is the most frequently involved organ and then uterine serosa (22.4%), pelvic peritoneum showed deciduosis in following order. The 27 cases of them (40.9%) have been diagnosed as pelvic endometriosis prior their pregnancy, none of the others (39 cases, 59.1%) is diagnosed as pelvic endometriosis prior their pregnancy. Manifestations of women with deciduosis during pregnancy with/without prior other operations
No (%) age (yrs) preop. CA125 postop. CA125
prior endometriosis Hx.
no prior endometriosis Hx.
p-value
28(42.4%) 32.321 4.55 55.96 99.70 13.94 14.03
38(57.6%) 31.474 3.05 18.34 9.93 10.83 6.96
0.368 0.142 0.357
Conclusion: As pregnancy-associated mesenchymal metaplasias, ectopic decidua, fibrosing deciduosis depend on hormone and may regress post partum. However, long- term follow up is necessary for those women with deciduosis during pregnancy.
379 The Influence of Adenomyosis in Patients Laparoscopically Treated for Deep Endometriosis Landi S, Mereu L, Barbieri F, Fiaccavento A, Minelli L. Ob Gyn, Ospedale Sacro Cuore, Negrar, Verona, Italy Study Objective: To evaluate if and how the presence of concurrent adenomyosis can affect the outcomes of laparoscopic complete excision of deep endometriosis. Design: Retrospective comparative study. Setting: General hospital. Patients: From Jan 2003 to Jul 2005, 40 consecutive patenets affected by concomitant endoemtriosis and adenomyosis were consecutively included in group A and other 40 affected by endometriosis only in th egroup B.