2
عمومی::
کولدوساک
endometrial tissue usually is located in the pelvis but can appear anywhere in the body-the most common sites are the ovaries, anteroposterior cul-de-sac, uterosacral and broad ligaments, fallopian tubes, sigmoid colon, and the appendix/ The three main types of endometriosis are peritoneal, deep infiltrating, and ovarian/ As an estrogen-dependent disorder, ectopic lesions undergo cycles of growth and bleeding in synchrony with the menstrual cycle.
• Endometriosis is observed most commonly in the dependent portions of the pelvis, on the ovaries, in the anterior and posterior cul-de-sacs, and on the uterosacral ligaments, the posterior uterus, and the posterior surface of the broad ligaments.11-51
Pain may be more common, severe, and associated with dyspareunia and painful defecation in women with deep infiltrating disease involving the cul-de-sac and rectovaginal septum,'"130 Dyspareunia associated with endometriosis usually is new in onset and most intense with deep penetration immediately priorln menstruation.1"11 One-hdlTo I wo-thirds of women with endnote!
* In addition, in mode rale h. severe disease, the uterus often is retroverted and can exhibit decreased mobility or fixation, suggesting involvement of the cul-de-sac.
surrounding fibrosis, typically observed oil thic ovaries and on peritoneal surfaces in the cul-de-sac, ulcrosacral llgainenls. and ovarian fossa.'6" However, the majority of implants are atypical," appearing white and opaque, red and (lame-like, or vesicular.
واژگان شبکه مترجمین ایران