We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pitfalls in the Preoperative Diagnosis of Endometriosis

Arch Surg. 1986;121(3):367-368. doi:10.1001/archsurg.1986.01400030129022.
Text Size: A A A
Published online


To the Editor.—Endometriosis has been found to occur in almost every organ and location of the female body. This condition is well known to gynecologists, but the general surgeon is rarely faced with it in his or her practice, and, for this reason, the correct diagnosis is seldom made preoperatively. The establishment of a correct diagnosis preoperatively is important, not only for academic reasons, but mainly to avoid unnecessary anesthesia and operations in such patients.

Patients.—We had occasion to operate on three patients who proved to have unsuspected endometriosis and who exemplify the pitfalls in a preoperative diagnosis of this condition. The first patient was a 32-year-old woman who was undergoing an operation because of a myomatous uterus and who was found to have a hard, irregular, nut-sized mass that was palpable in the anterior wall of the rectum. Because of a suspicion of malignancy, an anterior resection


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.