Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-06-30T01:50:54.597Z Has data issue: false hasContentIssue false

Chapter 19 - Endometriosis

Published online by Cambridge University Press:  22 April 2022

By
Alfred Cutner  and
Martin Hirsch
Edited by
Swati Jha  and
Eloise Power
Swati Jha
Affiliation:
Royal Hallamshire Hospital, Sheffield
Eloise Power
Affiliation:
Sergeants’ Inn, London
Get access

Summary

The claimant presented with abdominal pain from the age of 18 years through to the age of 36 years. When she finally underwent a laparoscopy, she was found to have grade 4 endometriosis which had spread around her ovaries, colon and the wall of the abdomen. She underwent treatment, but as the endometriosis was so far advanced it could not be fully treated and it was alleged: i) it had been negligent to consider her symptoms to be related to irritable bowel syndrome (IBS) alone; ii) there had been a failure to consider a diagnosis of endometriosis earlier; iii) there had been a failure to perform a laparoscopy earlier, even though her symptoms remained unchanged after treatment.

Type
Chapter
Information
Lessons from Medicolegal Cases in Obstetrics and Gynaecology
Improving Clinical Practice
 , pp. 237 - 249
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hirsch, M, Berg, L, Gamaledin, I, Vyas, S, Vashihst, A. The management of women with thoracic endometriosis: a national survey of British gynaecological endoscopists. Facts Views Vis Obgyn 2020; 12(4): 291–8.Google Scholar
National Institute for Health and Care Excellence (NICE). Endometriosis: diagnosis and management. NICE Guideline [NG73]. 2017. Available at: www.nice.org.uk/guidance/ng73/documents/draft-guidelineGoogle Scholar
Dunselman, GAJ, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod 2014; 29(3): 400–12.Google Scholar
Hirsch, M, Duffy, JMN, Davis, CJ, Nieves Plana, M, Khan, KS. Diagnostic accuracy of cancer antigen 125 for endometriosis: a systematic review and meta-analysis. BJOG 2016; 123(11): 1761–8.CrossRefGoogle ScholarPubMed
NHS England. “NHS Standard Contract for Complex Gynaecology – Severe Endometriosis. Schedule 2 – The Services A. Service Specifications 2013. Available at: www.england.nhs.uk/wp-content/uploads/2018/08/Complex-gynaecology-severe-endometriosis.pdfGoogle Scholar
Byrne, D, Curnow, T, Smith, P, Cutner, A, Saridogan, E, Clark, TJ. Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres: a multicentre prospective cohort study. BMJ Open 2018; (8); e018924–e018924.Google Scholar
General Medical Council (GMC). Guidance on professional standards and ethics for doctors: decision making and consent. 2020. [Online]. Available at: www.gmc-uk.org/-/media/documents/updated-decision-making-and-consent-guidance_pdf-84160128.pdfGoogle Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Advanced training skills module: advanced laparoscopic surgery for the excision of benign gynaecological disease. 2010. [Online]. Available at: www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_advancedlaparoscopic_curriculum.pdfGoogle Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Preventing Entry-related Gynaecological Laparoscopic Injuries. Green-top Guideline No. 49. 2008. [Online]. Available at: https://mk0britishsociep8d9m.kinstacdn.com/wp-content/uploads/2016/03/GtG-no-49-Laparoscopic-Injury-2008.pdfGoogle Scholar
Fisher, G, Smith, RD, Saridogan, E, Vashisht, A, Allen, S, Arumuham, V, et al. Case selection for urological input in planned laparoscopic rectovaginal endometriosis surgery. Facts, Views & Vision in ObGyn 2019; 11(2): 111–17.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×