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February 9, 1946

Clinical Notes, Suggestions and New Instruments

JAMA. 1946;130(6):341-343. doi:10.1001/jama.1946.02870060027007

ENDOMETRIOSIS CAUSING INTESTINAL OBSTRUCTION  OSCAR T. WOOD, M.D., IRVIN DEIBERT, M.D., and THOMAS KAIN, M.D. PhiladelphiaEndometriosis externa occurs not infrequently. This condition is usually seen involving the oviducts, pelvic peritoneum, rectum and mesorectum.1 It has also been seen involving the ileum, appendix, cecum, ureter, bladder and skin surfaces particularly in the region of the umbilicus and in old operative scars of the anterior abdominal wall. Green-Armytage2 reports the general incidence of endometriosis as 8.9 per cent in 1,000 surgical cases.Endometrial implantation means that there is primary seeding from the site of origin. Endometrial transplantation means that there is secondary embedding from an implant. The case reported here represents endometriosis externa of the implant type.With the exception of rectum and mesorectum, intestinal contaminations are all derived primarily from the tubal "spill" or secondary rupture of endometrial cysts. Every transplant or

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