比目鱼肌和腓肠肌子宫内膜异位症。
Endometriosis of the soleus and gastrocnemius muscles.
作者信息
Poli-Neto Omero Benedicto, Rosa-E-Silva Júlio César, Barbosa Hermes Freitas, Candido-Dos-Reis Francisco José, Nogueira Antonio Alberto
机构信息
Department of Surgery and Anatomy, Faculty of Medicine, University of São Paulo, Ribeirão Preto, Brazil.
出版信息
Fertil Steril. 2009 Apr;91(4):1294.e13-5. doi: 10.1016/j.fertnstert.2008.12.014. Epub 2009 Jan 18.
OBJECTIVE
To document a rare case of endometriosis in the soleus and gastrocnemius muscles.
DESIGN
Case report.
SETTING
Tertiary care center.
PATIENT(S): A 30-year-old fertile woman presented with moderate dysmenorrhea associated with calf pain and bulging that had been gradually worsening over the last years, particularly during menses. A mass in the soleus and gastrocnemius muscles was identified in ultrasonography and magnetic resonance imaging.
INTERVENTION(S): Endometriosis was diagnosed by incisional biopsy on the basis of histopathology, and wide excisional biopsy was performed.
MAIN OUTCOME MEASURE(S): Unusual clinical presentation of endometriosis.
RESULT(S): The patient was disease free for 2 months. Recurrence of the lesion was then diagnosed, and a new surgical approach was planned.
CONCLUSION(S): Endometriosis in muscles is a rare event, and existing theories are not totally sufficient in explaining it.
目的
记录一例罕见的比目鱼肌和腓肠肌子宫内膜异位症病例。
设计
病例报告。
地点
三级医疗中心。
患者
一名30岁的育龄妇女，有中度痛经，伴有小腿疼痛和肿胀，在过去几年中逐渐加重，尤其是在月经期间。超声检查和磁共振成像发现比目鱼肌和腓肠肌有肿块。
干预措施
根据组织病理学通过切开活检诊断为子宫内膜异位症，并进行了广泛切除活检。
主要观察指标
子宫内膜异位症的不寻常临床表现。
结果
患者2个月无疾病。随后诊断为病变复发，并计划采用新的手术方法。
结论
肌肉中的子宫内膜异位症是一种罕见情况，现有理论在解释它方面并不完全充分。
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