(Compendio di anatomia umana – Luigi Cattaneo pag. / ed. Monduzzi Editore). The pelvic floor is a muscular hammock with a wide range of physiological. Sistema centralizzato di iscrizione agli esami. Programma ANATOMIA UMANA. BIO/09 . Compendio di anatomia umana. L. Cattaneo. Corso di First cycle degree in Midwifery. Academyc year when starting the degree: / Year: 1. Academyc year when helding the course: /
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Endometriosis is a pathological condition characterized by the presence of endometrial tissue outside the endometrium.
The authors describe a case of endometriosis in the Bartholin gland, which was initially diagnosed as a Bartholin gland cyst.
The correct diagnosis was later made on the basis of the patient history and the results of the ultrasound examination. Endometriosis in the Bartholin gland should be considered in the presence of dyspareunia, cyclic swelling and pain at the vulvar level, and characteristic ultrasound findings. They are situated on either side of the posterior walls of the vaginal vestibule, on the inferior aspect of the urogenital trigone, behind and partially covered by the posterior extremities of the vestibular bulbs.
They are tubuloacinar glands that produce mucoid secretions, which are released through the Bartholin ducts. The ducts measure approximately 2. The ducts, which are lined with transitional epithelium, can become obstructed at the vestibular orifice due to an accumulation of secretions, resulting in cystic dilatation [ 12 ]. One year after undergoing cesarean section, a year-old primipara was referred to our staff for assessment of appreciable inguinal swelling at the level of the left vaginal vestibule.
For several months, the swelling had appeared during the desquamative phase of the menstrual cycles and then disappeared. Aside from the swelling, the patient presented dyspareunia and vulvar pain. On physical examination, the swelling appeared mobile with a firm, elastic consistency.
There was no evidence of hypervascularization Fig.
The location of caattaneo lesion along with its clinical and sonographic characteristics was suggestive of endometriosis involvement of the Bartholin gland, and this diagnosis was confirmed by the post-operative histologic examination.
Endometriosis involving the Bartholin gland. Ultrasound reveals an anechoic mass with well-defined margins, corpuscular content, and posterior shadowing a and no evidence of vascularization b. Swelling of the Bartholin gland is a relatively frequent occurrence.
It is generally caused by simple obstruction of the duct, but in rarer cases it is related to an abscess or the endometriosis. It is characterized by the ectopic growth of endometrial tissue.
The sites of involvement are generally within the pelvic cavity, but lesions can also develop in the abdomen or on the walls of other organs. Reports of vulvar and perineal endometriosis abound anatomiz 3 ]. InMatseoane compenddio al. In patients with swelling of the Bartholin gland, ultrasound findings can generally provide helpful diagnostic guidance and in many cases reveal the cause [ 6 ].
Swelling caused by retention, for example, is characterized by well-defined margins and relatively homogenous content; most abscesses appear as hypoechoic or anechoic lesions compendii irregular margins and perilesional vascularization [ 2 ]. Endometriosis is associated with well-defined margins and corpuscular content.
MRI was not used in the present case because the patient suffered from claustrophobia, and the clinical diagnosis of endometriosis in the Bartholin gland was supported by the patient history periodic swelling of the gland mainly during the menstrual cycle and the ultrasound findings.
As this case illustrates, the diagnosis is possible on the basis of these data alone although a definitive diagnosis can be made only after surgical excision of the lesion. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation institutional and national and with the Helsinki Declaration ofas revised in 5. All subjects provided written informed consent to enrolment in the study and to the inclusion in this article of information that uumana potentially lead to their identification.
National Center for Biotechnology InformationU. Journal List J Ultrasound v. Published online Mar Author information Article notes Copyright and License information Disclaimer.
Received Jan 31; Accepted Feb 7. Abstract Endometriosis comppendio a pathological condition characterized by the presence of endometrial tissue outside the endometrium. Bartholin gland, Endometriosis, Ultrasonography. Description of the case One year after undergoing cesarean section, a year-old primipara was referred to our staff for assessment of appreciable inguinal swelling at the level of the left vaginal vestibule.
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Discussion and Conclusions Swelling of the Bartholin gland is a relatively frequent occurrence. Informed consent All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation institutional and national and with the Helsinki Declaration ofas revised in 5.
Cattaneo L Compendio di anatomia umana, 2nd edn, Monduzzi Editore s. Abulafia O, Sherer DM. N Y State J Med.
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