Deeply infiltrating endometriosis in an young woman - A case report.

Endometriosis is one of the most important causes of chronic pelvic pain in both adolescent and adult woman. Deeply infiltrated endometriosis is tough case with poor response to medical treatment and associated with complication of visceral damage after surgical treatment. Retroperitoneal fibrosis subsequent to deeply infiltrating endometriosis lesion may encase the ureter and can present as obstructive uropathy. In such cases it is necessary and the only option to free the ureter or else the function of the affected kidney compromises. Such expensive surgeries require skill and competence with a team work in the urological surgeries. Such rare case of gross pelvic endometriosis with left obstructive uropathy was successfully managed and treated by our team.

Endometrial stromal tumor in a young woman – A rare presentation.

Endometrial stromal tumors (EST) arise from stromal component of endometrium and are rare and common in peri or postmenopausal age group. EST are partially estrogen dependent tumors and their histopathology resemble the stromal cells of normal proliferative endometrium. They present in varied forms pathologically ranging from most begin to most mligrant variants. Diagnosis essentially is by histopathology and prognosis is based on the mitotic activity of the tumor. We have presented here a case of EST presenting in a young nulliparous woman.