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[腹壁子宫内膜异位症:病例报告]

[Abdominal wall endometriosis: case report].

作者信息

Vélez Sebastián E, Piccinni Daniel Jesús, Caminos Susana, Spitale Luis Santos, Ferrari Juan Carlos

机构信息

Departamento de Cirugía General. Ex Clínica Privada Junín, II Cátedra de Patología FCM UNC, Córdoba, Argentina.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2004;61(1):44-7.

Abstract

Endometriosis is defined as the presence of endometrial glands and stroma outside uterus. This ectopic finding occur in the abdominal wall among 0,03% to 1% of women with prior gynecologic surgery, particularly after cesarean section. Most frequently, endometriosis is present as a palpable mass, painfull during menstrual period, near surgical scar. It could mimic other pathologies such as hematomas, granulomas, inicisional hernias, abscesses and tumors. We report the case of a 35 years old woman with a painful mass during menstruation nearly cesarean scar. The tumor was completely removed and a polipropylen mesh was placed to repair the abdominal wall defect. It was identified as endometriosis in the anatomo-patologic examination.

摘要

子宫内膜异位症的定义是子宫外存在子宫内膜腺体和间质。这种异位情况发生在腹壁,在既往有妇科手术史的女性中占0.03%至1%,尤其是剖宫产术后。最常见的是,子宫内膜异位症表现为可触及的肿块,在月经期靠近手术瘢痕处疼痛。它可能会模仿其他病变,如血肿、肉芽肿、切口疝、脓肿和肿瘤。我们报告一例35岁女性,在剖宫产瘢痕附近有一个月经期疼痛的肿块。肿瘤被完全切除,并放置了聚丙烯网片来修复腹壁缺损。在解剖病理检查中确诊为子宫内膜异位症。

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