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ENDOMETRIOSIS: Evidence of Tubal Origin in the Distribution of Lesions

ENDOMETRIOSIS: Evidence of Tubal Origin in the Distribution of Lesions Abstract ENDOMETRIOSIS is one of the more serious afflictions of modern woman. Striking in the home-building years from youth1 to menopause and often causing severe pain, childlessness and dyspareunia as well as intestinal and urinary lesions, the disease affects so many women (probably twice as many as appendicitis2) and its treatment is so unsatisfactory3 that it has become a challenge to modern medicine. Several theories have been advanced which could explain its development, but there is little evidence that any one of them does, in fact, operate. This report submits evidence, from a study of where endometriosis occurs, to suggest how in some cases it does occur. The evidence is circumstantial and based on the assumption that if material is dropped onto the pelvic peritoneum (implant theory) simple gravity would be one of the agents influencing its distribution. Evidence of gravity influence is presented. No presently suggested mechanism References 1. Fallon, J.: Endometriosis in Youth , J. A. M. A. 131:1405-1406 ( (Aug. 24) ) 1946.Crossref 2. Fallon, J.; Brosnan, J. T., and Moran, W. G.: Endometriosis: 200 Cases Considered from the Viewpoint of the Practitioner , New England J. Med. 235:669-673 ( (Nov. 7) ) 1946.Crossref 3. (a) Fallon, J.; Brosnan, J. T.; Manning, J. J.; Moran, W. G.; Meyers, J., and Fletcher, M. E.: Endometriosis: A Report of 400 Cases , Rhode Island M. J. 33:15-20 ( (Jan.) ) 1950. 4. (b) Fallon, J.; Brosnan, J. T.; Meyers, J., and Manning, J. J.: The Clinical Aspects of Endometriosis , Ann. West. Med. & Surg. 4:321-325 ( (July) ) 1950. 5. This timing is based on observations made by me during operations at varying periods after presumptive bursts of chocolate cysts in patients and at various intervals between three weeks and five years during a current study of experimental endometriosis in rhesus monkeys. Some lesions considered to be early have been illustrated elsewhere (footnotes 2 and 3 a). 6. Sampson, J. A.: Perforating Hemorrhagic (Chocolate) Cysts of the Ovary: Their Importance and Especially Their Relation to Pelvic Adenomas of Endometrial Type ("Adenomyoma" of the Uterus, Rectovaginal Septum, Sigmoid, Etc.) , Arch. Surg. 3:245-323 ( (Sept.) ) 1921. 7. Sampson, J. A.: Peritoneal Endometriosis Due to the Menstrual Dissemination of Endometrial Tissue into the Peritoneal Cavity , Am. J. Obst. & Gynec. 14:422-469 ( (Oct.) ) 1927. 8. Sampson, J. A.: Endometriosis Following Salpingectomy , Am. J. Obst. & Gynec. 16:461-501 ( (Oct.) ) 1928. 9. Sampson, J. A.: Pelvic Endometriosis and Tubal Fimbriae , Am. J. Obst. & Gynec. 24:497-542 ( (Oct.) ) 1932. 10. Scott, R. E., and TeLinde, R. W.: The Production of Experimental Endometriosis in the Rhesus Monkey, presented before the Annual Meeting, American Gynecological Society, White Sulphur Springs, West Virginia, May 11-13, 1950, to be published in Am. J. Obst. & Gynec. 11. Meigs, J. V.: Endometriosis: Its Significance , Ann. Surg. 114:866-874 ( (Nov.) ) 1941. 12. Ranney, B.: Etiology of Endometriosis , Internat. Abstr. Surg. 86:313-334 ( (April) ) 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

ENDOMETRIOSIS: Evidence of Tubal Origin in the Distribution of Lesions

FALLON, JOHN
A.M.A. Archives Surgery , Volume 62 (3) – Mar 1, 1951
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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1951.01250030418009
Publisher site
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Abstract

Abstract ENDOMETRIOSIS is one of the more serious afflictions of modern woman. Striking in the home-building years from youth1 to menopause and often causing severe pain, childlessness and dyspareunia as well as intestinal and urinary lesions, the disease affects so many women (probably twice as many as appendicitis2) and its treatment is so unsatisfactory3 that it has become a challenge to modern medicine. Several theories have been advanced which could explain its development, but there is little evidence that any one of them does, in fact, operate. This report submits evidence, from a study of where endometriosis occurs, to suggest how in some cases it does occur. The evidence is circumstantial and based on the assumption that if material is dropped onto the pelvic peritoneum (implant theory) simple gravity would be one of the agents influencing its distribution. Evidence of gravity influence is presented. No presently suggested mechanism References 1. Fallon, J.: Endometriosis in Youth , J. A. M. A. 131:1405-1406 ( (Aug. 24) ) 1946.Crossref 2. Fallon, J.; Brosnan, J. T., and Moran, W. G.: Endometriosis: 200 Cases Considered from the Viewpoint of the Practitioner , New England J. Med. 235:669-673 ( (Nov. 7) ) 1946.Crossref 3. (a) Fallon, J.; Brosnan, J. T.; Manning, J. J.; Moran, W. G.; Meyers, J., and Fletcher, M. E.: Endometriosis: A Report of 400 Cases , Rhode Island M. J. 33:15-20 ( (Jan.) ) 1950. 4. (b) Fallon, J.; Brosnan, J. T.; Meyers, J., and Manning, J. J.: The Clinical Aspects of Endometriosis , Ann. West. Med. & Surg. 4:321-325 ( (July) ) 1950. 5. This timing is based on observations made by me during operations at varying periods after presumptive bursts of chocolate cysts in patients and at various intervals between three weeks and five years during a current study of experimental endometriosis in rhesus monkeys. Some lesions considered to be early have been illustrated elsewhere (footnotes 2 and 3 a). 6. Sampson, J. A.: Perforating Hemorrhagic (Chocolate) Cysts of the Ovary: Their Importance and Especially Their Relation to Pelvic Adenomas of Endometrial Type ("Adenomyoma" of the Uterus, Rectovaginal Septum, Sigmoid, Etc.) , Arch. Surg. 3:245-323 ( (Sept.) ) 1921. 7. Sampson, J. A.: Peritoneal Endometriosis Due to the Menstrual Dissemination of Endometrial Tissue into the Peritoneal Cavity , Am. J. Obst. & Gynec. 14:422-469 ( (Oct.) ) 1927. 8. Sampson, J. A.: Endometriosis Following Salpingectomy , Am. J. Obst. & Gynec. 16:461-501 ( (Oct.) ) 1928. 9. Sampson, J. A.: Pelvic Endometriosis and Tubal Fimbriae , Am. J. Obst. & Gynec. 24:497-542 ( (Oct.) ) 1932. 10. Scott, R. E., and TeLinde, R. W.: The Production of Experimental Endometriosis in the Rhesus Monkey, presented before the Annual Meeting, American Gynecological Society, White Sulphur Springs, West Virginia, May 11-13, 1950, to be published in Am. J. Obst. & Gynec. 11. Meigs, J. V.: Endometriosis: Its Significance , Ann. Surg. 114:866-874 ( (Nov.) ) 1941. 12. Ranney, B.: Etiology of Endometriosis , Internat. Abstr. Surg. 86:313-334 ( (April) ) 1948.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Mar 1, 1951

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