Table 1.

Clinical features of extaruterine extraovarian abdominopelvic ESS.

Authors	Age (yr)	Past History/HRT	Presenting symptoms	Abdominal Site	Gross Findings	Dissemination	Associated Endometriosis (specimen)	Treatment	Follow up
Son et al. [5]	52	None	Constipation, abdominal pain and hematochezia (1 mo)	Sigmoid colon	3.5 × 2.8 cm polypoid mass involving whole layers of colonic wall to pericolic fat	Local (pelvic, peritoneum, ovaries)	No	Laparoscopic LAR TAH, BSO (2mo later)	NED, 4 mo
Wang et al. [6]	40	TAH (leiomyoma) Rt. Ovarian cystectomy	Change in bowel habits and hematochezia (1 yr)	Rectosigmoid, mesentery, intestinal wall	Multiple 1–3 cm nodular masses involving intestinal wall and mesentery	Distant (multiple mesentery and abdominal metastasis)	Yes	Intraoperative chemotherapy, palliative transverse loop colostomy	DOD, 18 mo
Ghosal et al. [15]	42	None	Palpable mass (1 mo)	Transverse and sigmoid colon mesentery, peritoneum	Multiple 0.7–2.8 cm nodular masses involving mesentery and peritoneum	Distant (multiple abdominal metastasis, para-aortic LNs)	Yes	TAH, BSO, resection of abdominal nodules, and pelvic and para-aortic nodes	NA
Ayuso et al. [7]	80	TAH, BSO (endometriosis/abnormal bleeding) HRT	Hematochesia Chronic discharge	Sigmoid colon	5 cm pelvic mass involving mucosa, muscularis and adjacent peritoneum	Local (peritoneum)	No	Laparoscopic AR - > Hormonal therapy	NED 4 y
Biliatis et al. [2]	56	None	Incidental finding of a pelvic mass at pelvic US	Terminal ileum, cecum	8 × 7 × 6 cm mass invading serosa	None	Yes	Rt. Hemicolectomy, TAH, BSO, bilateral pelvic node resection, omentectomy - > Chemotherapy - > Hormonal therapy	NED 38 mo
Rosca et al. [11]	51	Removal of endometriosis implants from ovaries and rectum	NA	Sigmoid, Appendix (2 m later)	5 cm mass 3 cm peri-appnedicular mass	Local	Yes	Resection Details NA	Recurrence 2 mo Long term − NA
Doghri et al. [13]	45	None	Abdominal discomfort (6 mo)	Omentum	35 × 28 × 18 cm mass involving omentum	None	Yes	Tumourectomy and omentectomy	NA
Zemlyak et al. [12]	70	TAH, BSO (leiomyoma) Endometriosis HRT	Abdominal pain and increased urinary frequency	Sigmoid colon, terminal ileum	15.8 × 13 × 8.9 cm mass adherent to both bowel segments and left ureter	None	Yes	Sigmoidectomy and segmental resection of terminal ileum	NED 3 yr
Kim et al. [1]	75	TAH, BSO (leiomyomas)	Abdominal pain and palpable mass (1 yr)	Jejunum, mesentery and omentum	7 cm mass adherent to jejunal serosa. 4.5 cm mass in jejunal lumen. 03.-0.5 cm nodules on mesentery and omentum.	Local (mesentery,omentum)	No	Segmental resection of jejunum and omentectomy Refused chemotherapy	Recurrence 5 mo repeated surgery, no further F/U
Chen et al. [8]	42	Non-small cell lung cancer, chemotherapy Treatment (5 yr)	Difficult defecation and hematochezia (1 mo)	Sigmoid colon and omentum	1–3 cm nodular masses involving bowel wall from mucosa to peri-colic fat	Local (omentum, ovary, fallopian tubes)	Yes	Rectosigmoidectomy, TAH, BSO, partial omentectomy -> Radiotherapy	NED 12 mo
Kovac et al. [22]	45	TAH, RSO (leiomyoma, normal adnexa)	Symptoms of stenosing process	Rectosigmoid and omentum	6 cm mass infiltrating all layers of bowel wall and multiple omental nodules	Local (omentum, ovary)	Yes	Tumourectomy, colon resection, LSO, omentectomy	NED 11 mo
Rojas et al. [10]	42	None	Diarrhea (2 yr) Acute abdominal pain, small bowel obstruction (1 d)	Small bowel, mesentery	2.5–3.5 cm multiple nodules	Distant (bowel mesentery)	Yes	Laparoscopy, 3 nodules resected for histology. No definite surgery described.	NA
Cho et al. [9]	48	Subtotal hysterectomy (leiomyoma) TAH, BSO (endometriosis)	Difficult defecation and tenesmus	Sigmoid colon	1–3 cm multi-multinodular masses involving all layer of bowel wall	Local (bowel, bladder, ureter)	Yes	Segmental sigmoid resection, regional LNs dissection	DIC post surgery NED 4 mo
Bosincu et al. [14]	42	None	Abdominal pain and fever	Rectosigmoid	Multiple polypoid ulcerated masses with transmural infiltration of bowel wall (size NA)	Local (omentum, peritoneum, parametrium, paracolic LNs)	Yes	AR, appendectomy, omentectomy, TAH, BSO -> Chemotherapy	NED 20 mo
Mourra et al. [17]	61	HRT	Epigastric pain (portal vein thrombosis on US)	Rectosigmoid	2.7 cm polypoid tumour with lumen stenosis, involving all layers of bowel wall	None	Yes	LAR	NED 30 mo
Yantiss et al. [18]	63	NA	NA	Rectum	2 cm polypoid mass involving all layers of bowel wall with lumen stenosis	None	Yes	Rectal resection (not specified)	Recurrence 3y. NED at 6y following radiotherapy
Fukunaga et al. [23]	43	None	Abdominal distention (1 mo)	Rectum, bladder	14 × 12 × 10 cm ill-circumscribed mass adherent to rectum and bladder wall	None	Yes	Tumourectomy, partial resection of rectal wall, TAH, BSO	NED 39 mo
Fukunaga et al. [23]	50	None	Abdominal distension	Omentum, transverse colon mesentery	20 cm omental mass, 10 cm mesocolon mass	Local (mesentery)	No	Tumourectomy, partial resection of transverse colon	NED 18 mo
Baiocchi et al. [16]	38	Ovarian Cystectomy (endometriosis) TAH, BSO (menorrhagia)	Abdominal and back pain (6 mo)	Transverse and ascending colon, terminal ileum	Large multilobular mass adherent to colon and ileum, with scattered implants (size NA)	Distant (falciform ligament, gastrocolic ligament mesentery, pelvis)	Yes	Colectomy (ascending and transverse colon), partial ileum resection -> Chemotherapy -> Hormonal therapy	NED 2y
Present case	47	TAH (menorrhagia) HRT	Acute RLQ abdominal pain	Omentum	2.1 cm tumour embedded in omentum	None	No	Laparoscopic resection of tumour, BSO -> Hormonal therapy	NED 6 mo

TAH, total abdominal hysterectomy; BSO, bilateral salpingo-oophorectomy; RSO, rt. salpingo-oophorectomy; HRT, hormonal replacement therapy; NA, not available; NED, no evidence of disease; DOD, dead of disease.