Distribution of Pelvic and Abdominal Adenomyomas

  • Ronald E. Batt


By 1920, Cullen accepted three models for the pathogenesis of extrauterine adenomyomas: (1) from embryonic müllerian rests, (2) “springing from” the posterior wall of the cervix or body of the uterus and invading the rectum, and (3) from overflow of uterine mucosa – shed from an adenomyoma of the rectovaginal septum onto tube and ovary – the same flowing metaphor that he used to explain the pathogenesis of diffuse uterine adenomyomas. Cullen came tantalizingly close to – and yet so far from – Sampson’s later observations when he wrote: “One gathers the impression that the uterine mucosa from the diffuse adenomyoma on the posterior surface of the cervix and uterus has overflowed upon the adherent tube [and ovary].”1 Cullen had the implantation pathogenesis in reverse.


Sigmoid Colon Uterine Horn Uterosacral Ligament Johns Hopkins Hospital Broad Ligament 
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Copyright information

© Springer-Verlag LondonLimited 2011

Authors and Affiliations

  • Ronald E. Batt
    • 1
  1. 1.State University of New York at BuffaloBuffaloUSA

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