Collins A M, Power K T, Gaughan B, Hill A D, Kneafsey B
Surgeon. 2009 Aug;7(4):252-3. doi: 10.1016/s1479-666x(09)80096-6.
Endometrioma formation is an uncommon complication of caesarean sections. Frequently the diagnosis is delayed, due to a failure to include it in the differential diagnosis for an abdominal wall mass. The case of a thirty-six year-old female, presenting with the classical triad of a mass and cyclical pain arising in a caesarean section scar, is reported. Wide excision was performed via a transverse lower abdominal ellipse, similar to that used for abdominoplasty. The involved rectus muscle was excised and the abdominal wall was reconstructed using polypropylene mesh. An abdominoplasty-like approach affords clear margins for large caesarean section scar endometriomas thus reducing the recurrence risk. Abdominal wall reconstruction may be required for extensive lesions.
子宫内膜瘤形成是剖宫产的一种罕见并发症。由于未能将其纳入腹壁肿块的鉴别诊断中，诊断往往会延迟。本文报告了一例36岁女性病例，该患者表现出剖宫产瘢痕处出现肿块和周期性疼痛的典型三联征。通过下腹横向椭圆形切口进行广泛切除，类似于腹壁整形术的切口。切除受累的腹直肌，并用聚丙烯网片重建腹壁。类似腹壁整形术的方法可为大型剖宫产瘢痕子宫内膜瘤提供清晰的切缘，从而降低复发风险。对于广泛的病变可能需要进行腹壁重建。
