Rambo W M, Johnson B L
Medical University of South Carolina, Charleston.
Am Surg. 1991 Nov;57(11):679-81.
Endometriosis is rarely encountered by the general surgeon but may on occasion mimic general surgical disease. Although usually diagnosed easily because of cyclic symptoms and typical physical findings, six atypical cases are presented. These cases were diagnosed as appendicitis (2), subcutaneous mass (2), pelvic wall malignancy, and lower gastrointestinal hemorrhage. Diagnosis was ultimately made by laparotomy or excisional biopsy in five cases and by fine needle aspiration in one. Resection of the lesion, if feasible, is often curative. If resection is not feasible, therapy depends on the severity of the symptoms, and the patient's desire for fertility. Recognition of the typical appearance of an endometrioma may avoid mistaking it for cancer.
普通外科医生很少遇到子宫内膜异位症，但偶尔可能会误诊为普通外科疾病。尽管由于周期性症状和典型的体格检查结果通常很容易诊断，但本文介绍了6例非典型病例。这些病例被诊断为阑尾炎（2例）、皮下肿块（2例）、盆腔壁恶性肿瘤和下消化道出血。5例最终通过剖腹手术或切除活检确诊，1例通过细针穿刺确诊。如果可行，切除病灶通常可治愈。如果无法切除，治疗则取决于症状的严重程度以及患者的生育意愿。认识到子宫内膜瘤的典型表现可避免将其误诊为癌症。
