Colonoscopic Tattoo Dye Spillage Mimics Endometriosis on Laparoscopy |
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| Affiliation: | 1. Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania;2. Virtua Hospital, Voorhees, New Jersey;3. Genesis Biotechnology Group, Medical Diagnostic Laboratories L.L.C., Hamilton, New Jersey;1. Department of Endosurgery, Mercy Hospital for Women, Melbourne, Australia;2. Victorian Orthopaedic Foot and Ankle Clinic, Melbourne, Australia;1. Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;2. Department of Anaesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;1. Department of Obstetrics and Gynecology, Eulji University, Daejeon, Korea;2. Department of Nursing, Eulji University, Daejeon, Korea;3. Department of Preventive Medicine, Eulji University, Daejeon, Korea;4. Research Institute of IT Convergence Medicine, Eulji University, Daejeon, Korea;5. Yim Hyun Soon Obstetrics and Gynecology Clinic, Daejeon, Korea |
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| Abstract: | Rare adverse effects of India ink injection spillage during colonoscopy have been reported. We present a case report in which prior colonoscopic India ink tattooing was found to mimic intraperitoneal endometriosis in a 48 year-old woman undergoing laparoscopic sterilization. Multiple black lesions suspicious for endometriosis involving the anterior and posterior cul-de-sac, left ovary, and omentum were found. A pathological assessment showed peritoneal tissue with focal dark pigment associated with mild chronic inflammation and deposition of tattoo pigment; there was no evidence of endometriosis in the specimens. Surgical recognition of tattoo ink spillage in the peritoneum is very important to prevent misinterpretation of peritoneal findings. |
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| Keywords: | Colonoscopic tattooing Endometriosis Laparoscopy |
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