剖宫产术后手术瘢痕子宫内膜异位症：一例报告
Surgical scar endometriosis after Cesarean section: a case report.
作者信息
Luisi Stefano, Gabbanini Massimo, Sollazzi Sofia, Calonaci Francesco, Razzi Sandro, Petraglia Felice
机构信息
Chair of Obstetrics and Gynecology, Department of Pediatric, Obstetrics and Reproductive Medicine, University of Siena, Siena, Italy.
出版信息
Gynecol Endocrinol. 2006 May;22(5):284-5. doi: 10.1080/09513590600777578.
BACKGROUND
Cutaneous endometriosis is a rare condition.
CASE REPORT
A 37-year-old woman came to our observation 3 years after Cesarean section for a nodule under the scar that became spontaneously painful during menstrual bleeding. Transabdominal ultrasound examination, serum CA125 determination and histopathological analysis of the nodule were performed. Ultrasound revealed the presence of an oval-shaped hypoechogenic neoformation, while the serum CA125 level was slightly increased, and a diagnosis of endometriosis was confirmed by the histopathological analysis of a surgical specimen.
CONCLUSION
This is an interesting case of surgical scar endometriosis, and the etiopathogenetic mechanism of this location may be explained by a dissemination of endometrial tissue during the Cesarean section.
背景
皮肤子宫内膜异位症是一种罕见病症。
病例报告
一名37岁女性在剖宫产术后3年前来就诊，其瘢痕下有一个结节，在月经出血时会自发疼痛。对该结节进行了经腹超声检查、血清CA125测定及组织病理学分析。超声显示存在一个椭圆形低回声新生物，血清CA125水平略有升高，手术标本的组织病理学分析证实为子宫内膜异位症。
结论
这是一例有趣的手术瘢痕子宫内膜异位症病例，该部位的发病机制可能是剖宫产时子宫内膜组织播散所致。
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