Uncommon diagnostic aspects of adolescent endometriosis: case series with narrative review of the literature

In adolescents, the diagnosis of endometriosis remains challenging because of non-classical clinical manifestations and atypical laparoscopic findings compared with those observed in adults. The presented atypical cases underscore the importance of careful interview and consideration of rare anatomical anomalies that may co-occur with endometriosis. Increasing awareness of the disease's diverse clinical variants is important among adolescent patients, their parents, and especially pediatricians, who are often the first medical contact for these patients.