Spotting - Endometriosis
Symptoms
A 40 year old woman presented with premenstrual spotting and dysmenorrhoea.
Diagnosis
She elected to proceed with a Laparoscopy. This revealed pigmented endometriosis over the left ureter, bladder, posterior cervix and right side wall.
Procedure
All visible endometriosis was excised.
Outcome
The pain and spotting resolved.
Pigmented nodule of endometriosis on right pelvic side wall
Pigmented nodule of endometriosis on left pelvic side wall and left Uterosacral Ligament
Pigmented nodule of endometriosis on surface of bladder
All visible endometriosis has been excised