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酷似疝复发的子宫内膜异位症。

Endometriosis mimicking hernia recurrence.

作者信息

Ducarme G, Uzan M, Poncelet C

机构信息

Department of Obstetrics and Gynecology, Assistance Publique, Hôpitaux de Paris, CHU Jean Verdier, Avenue du 14 Juillet, 93140, Bondy, France.

出版信息

Hernia. 2007 Apr;11(2):175-7. doi: 10.1007/s10029-006-0159-2. Epub 2006 Nov 22.

Abstract

Endometriosis is a common gynecologic condition and has been described in several locations, mostly in the pelvis. Extragenital endometriosis may appear as a painful nodule evoking an inguinal hernia. Scar endometriosis after inguinal hernia repair seems to be a rare occurrence. We report an unusual case of a 28-year-old woman who developed a scar endometriosis 2 years after an inguinal hernia repair. This case highlights that the presence of a painless inguinal mass similar to a recurrent hernia, with possible swelling related to the menstrual cycle, may evoke endometriosis, especially after a previous hernia repair and should lead to prompt diagnosis, wide excision, and gynecological advice.

摘要

子宫内膜异位症是一种常见的妇科疾病,已在多个部位被描述,主要位于盆腔。生殖器外子宫内膜异位症可能表现为引起腹股沟疝的疼痛性结节。腹股沟疝修补术后的瘢痕子宫内膜异位症似乎很少见。我们报告了一例不寻常的病例,一名28岁女性在腹股沟疝修补术后2年发生了瘢痕子宫内膜异位症。该病例强调,出现类似于复发性疝的无痛性腹股沟肿块,且可能与月经周期相关的肿胀,可能提示子宫内膜异位症,尤其是在既往有疝修补术后,应及时诊断、广泛切除并寻求妇科建议。

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