ENDOMETRIOSIS TORCICA RARE ILLNESS AND OF DIFFICULT I DIAGNOSIS The carrying women of endometriosis many times are sad, tired, depressed and this having to the painful and chronic picture that many times do not answer common analgesics what it compels to look aid systematically to have its attenuated pains. Pains can occur before or during the mestrual period. It appears suddenly, bringing physical, psychic upheaval for the patient. Approximately 20% of the women have only pain, 60% have pain and 20% can feel pain mestrual clica type intense, practical abdominal pain during the sexual one. In general, the endometriosis costuma to only affect the covering of the abdominal socket or the surface of the abdominal agencies. The fabric endometrial that outside grows of the place (endometrial implantation) many times develops on the ovrios and the ligaments that support the uterus. With little frequency, can to make it in surface external of intestines thin and thick, in ureteres (canals that goes since the kidneys until the urinria bladder), in bladder, in the vagina, the surgical scars gifts in the abdomen or the internal covering of the torcica wall (pleura).
In very rare cases, it can be found weaveeed endometrial in the pulmes. (COAST, 2008) the complaints most frequent between the endometriosis carriers are: dismenorria (clicas), chronic pelvic pain, sterility, menstrual and dispareunia irregularity (pain during the sexual relation). Cyclical urinrias and intestinais alterations also are found, as pain to the evacuation, diarria, perimenstrual disria (pain during the mico in the menstrual period), policiria (increase of the miccional frequency), miccional and hematria urgency (emission of blood through uretra, folloied or not for piss). The endometriosis leads the causes of infertility between women above of the 25 years, being possible that approximately 30 40% of the infertile women have some degree of endometriosis. (MULLER; MATTA, 2006) patognese of the endometriosis has been explained for diverse theories that point with respect to the multicausalidade, associating genetic factors, imunolgicas abnormalitys and endometrial disfuno.