Identical
Ovarian and Deep Pelvic Endometriosis with Colorectal Involvement in
Monozygotic Twins: A Case Report and Review of the Literature by Joseph Miller in BJSTR
Abstract
Endometriosis is a common benign gynecologic disease characterised by
the presence of ectopic endometrial tissue outside the uterus. We
present a brief review on the genetic factors underlying endometriosis,
followed by a case report on concordant anatomical distribution of deep
infiltrating endometriosis (DIE) in a pair of monozygotic (MZ) twins. To
our knowledge, this is one of the first reported cases of DIE in MZ
twins.
The remarkable concordance and resemblance of deep disease involving the
same anatomical sites, ovaries, pelvic floor and rectosigmoid colon
in our MZ twins reiterates the role and impact of genetic factors in the
pathogenesis of endometriosis.
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