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Re: Allen-Masters syndromeFrom: DoctorJoe@aol.comWed Mar 21 20:10:03 2007
In a message dated 3/21/07 6:01:31 PM, jane@helwig.net writes:
> I had a new patient who walked in "to schedule a hysterectomy." She I was thinking Robin Masters, but that might be yearning for a trip to Hawaii. On the other hand, as el always says, "Google is your friend." Fertil Steril. 1981 Dec;36(6):751-6. Links Pelvic peritoneal defects and endometriosis: Allen-Masters syndrome revisited. • Chatman DL. The peritoneum covering the pelvic viscera is usually smooth and glistening. Defects in the pelvic peritoneum are usually presumed to be acquired. Allen and Masters described such a clinical syndrome, the anatomic cornerstone of which was laceration(s) of uterine supports with resultant defect(s) in the broad and/or uterosacral ligaments. This diagnosis has been made more often recently on the basis of laparoscopic findings alone. Twenty-five cases of pelvic peritoneal defects were documented in a series of 635 consecutive diagnostic laparoscopies done primarily for pelvic pain. None fit the criteria of the Allen-Masters syndrome. Sixty-eight percent had associated endometriosis. It is suggested that pelvic peritoneal defects may be causally related to endometriosis, the disease either attacking presumably previously altered peritoneal surfaces or causing peritoneal scarring, duplication, and reduplication secondary to the cyclic insults of the ectopic endometrium and thereby producing the appearance of traumatic lacerations. Further, it is suggested that when such defects are noted at laparoscopy, the presence of other associated pathologic abnormalities, including endometriosis, should be investigated. PMID: 6458517 [PubMed - indexed for MEDLINE] Allen-Masters syndrome Also known as: Masters-Allen syndrome Associated persons: Willard Myron Allen William Howell Masters Description: Laceration of the fascial layers in the broad and Mackenrodt ligaments resulting in â€universal joint†type of mobility of the cervix. The cervix may be moved in any direction with minimal, if any, movement of the corpus uteri. The condition usually results from surgically traumatic or old lacerations of the broad ligament during delivery or, less frequently, from induced abortion, particularly as a result of excessive vaginal packing. Complaints include pelvic congestion and pain, menstrual disturbances, dyspareunia, fatigability, pain during intercourse, and backache. Bibliography: • W. M. Allen, W. H. Masters: Traumatic laceration of uterine support. The clinical syndrome and operative treatment. American Journal of Obstetrics and Gynecology, St. Louis, 1955, 70: 500-513. Joe P.
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