Upadhyaya P, Karak A K, Sinha A K, Kumar B, Karki S, Agarwal C S
Department of Pathology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2010 Apr-Jun;49(178):158-60.
Endometriosis of abdominal wall scar following operation on uterus and tubes is extremely rare. The late onset of symptoms after surgery is the usual cause of misdiagnosis. Scar endometriosis is a rare disease which is difficult to diagnose and should always be considered as a differential diagnosis of painful abdominal masses in women. The diagnosis is made only after excision and histopathology of the lesion. Preoperative differentials include hernia, lipoma, suture granuloma or abscess. Hence an awareness of the entity avoids delay in diagnosis, helps clinicians to a more tailored treatment and also avoids unnecessary referrals. We report a case of abdominal endometriosis. The definitive diagnosis of which was established by histopathological studies.
子宫和输卵管手术后腹壁瘢痕子宫内膜异位症极为罕见。术后症状出现较晚是误诊的常见原因。瘢痕子宫内膜异位症是一种罕见疾病，诊断困难，女性腹部疼痛性肿块的鉴别诊断中应始终考虑该病。只有在病变切除并进行组织病理学检查后才能确诊。术前鉴别诊断包括疝、脂肪瘤、缝线肉芽肿或脓肿。因此，了解该疾病可避免诊断延误，帮助临床医生进行更有针对性的治疗，还可避免不必要的转诊。我们报告一例腹壁子宫内膜异位症病例，其确诊通过组织病理学研究。
