腹壁子宫内膜异位症:病例报告

K. Lemtouni, R. Essofi, H. Ahmanna, B. Zouita, D. Basraoui, H. Jalal
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引用次数: 0

摘要

腹壁子宫内膜异位症是一种罕见的疾病,其特点是子宫内膜组织存在于子宫腔外,通常位于腹壁肌肉内。这种疾病通常表现为周期性腹痛、肿胀和可触及的肿块,与其他腹部病变相似。诊断具有挑战性,需要高度怀疑,尤其是有盆腔子宫内膜异位症病史的育龄妇女。超声波和核磁共振成像等影像学检查可帮助诊断,但明确诊断需要通过切除组织的组织病理学检查。治疗方法包括手术切除病灶,并保留清晰的边缘,以减轻症状并防止复发。妇科医生和普外科医生之间的多学科合作对于腹壁子宫内膜异位症病例的最佳治疗至关重要。本病例是一名 38 岁的女性患者,被诊断为累及右腹肌的子宫内膜异位症。
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Endometriosis of the Abdominal Wall: A Case Report
Abdominal wall endometriosis is a rare condition characterized by the presence of endometrial tissue outside the uterus, typically within the abdominal wall muscles. This condition often presents with cyclic abdominal pain, swelling, and a palpable mass, mimicking other abdominal pathologies. Diagnosis is challenging and requires a high index of suspicion, especially in women of reproductive age with a history of pelvic endometriosis. Imaging studies such as ultrasound and MRI can aid in diagnosis, but definitive diagnosis is made through histopathological examination of excised tissue. Treatment options include surgical excision of the lesion with clear margins to alleviate symptoms and prevent recurrence. Multidisciplinary collaboration between gynecologists and general surgeons is essential for optimal management of abdominal wall endometriosis cases. We present the case of a 38-year-old female patient diagnosed with endometriosis involving the right abdominal muscle.
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