A patient was admitted to the hospital with complaints of periodical pain in the lower part of abdomen that gets worse during menses, weakness, malaise, nervousness, dark bloody smears from vagina directly before and after menses. Bimanual examination revealed that uterus body is enlarged, appendages cannot be palpated, posterior fornix has tuberous surface. Laparoscopy revealed: ovaries, peritoneum of rectouterine pouch and pararectal fat have "cyanotic eyes". What is the most probable diagnosis?

Answer options

1. Tuberculosis of genital organs
2. Disseminated form of endometriosis
3. Polycystic ovaries
4. Ovarian cystoma
5. Chronic salpingitis

Explanation

It suggests that during a woman's menstrual flow, some of the endometrial debris flow backward through the Fallopian tubes and into the peritoneal cavity, attaching itself to the peritoneal surface (the lining of the abdominal cavity) where it can proceed to invade the tissue as endometriosis. Endometriosis is a painful disorder in which the endometrium grows outside the uterus. It commonly involves the ovaries, fallopian tubes, and tissues lining the pelvis.