病例报告:评估一例子宫内膜异位症发展在瘢痕组织

M. Canday, A. Yurtkal, Hatice Beşeren
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引用次数: 0

摘要

子宫内膜异位症是子宫内膜间质和腺体在子宫腔外的异位。皮肤子宫内膜异位症常见于剖宫产术后。患者通常有疼痛,肿胀,有时出血疤痕部位与月经有关。这些病人的最终诊断是手术切除。本例患者在剖宫产术后2年以切口肿胀疼痛为主诉,在距切口5厘米处发现一个疼痛的生长肿块。经超声及磁共振检查,初步诊断为子宫内膜异位症。肿块被完全切除并送往病理室。病理检查证实子宫内膜异位症的诊断。子宫内膜异位症在女性前腹壁肿块的鉴别诊断中不容忽视。
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CASE REPORT: EVALUATION OF A CASE OF ENDOMETRIOSIS DEVELOPED IN SCAR TISSUE
Endometriosis is the ectopic location of the endometrial stroma and glands outside the uterine cavity. Skin endometriosis is usually seen after cesarean section. Patients usually have pain, swelling and sometimes bleeding at the scar site associated with menstruation. The definitive diagnosis in these patients is surgical excision. In this case, a painful growing mass was detected 5 cm from the incision site of the patient who applied with the complaint of swelling and pain in the incision area 2 years after the cesarean section. He was hospitalized with a preliminary diagnosis of endometriosis with ultrasonography and magnetic resonance imaging findings. The mass was totally excised and sent to pathology. The diagnosis of endometriosis was confirmed in the pathological examination. Endometriosis should not be ignored in the differential diagnosis of anterior abdominal wall masses in female patients.
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