腹腔镜子宫切除术后巨大腹壁子宫内膜异位症
Large abdominal wall endometrioma following laparoscopic hysterectomy.
作者信息
Song Jonathan Y, Borncamp Erik, Mehaffey Philip, Rotman Carlos
机构信息
TLC Medical Group, SC, St. Charles, Illinois, Delnor Hospital, Geneva, Illinois, USA.
出版信息
JSLS. 2011 Apr-Jun;15(2):261-3. doi: 10.4293/108680811X13071180407078.
BACKGROUND
Endometriosis is a common condition in women that affects up to 45% of patients in the reproductive age group by causing pelvic pain. It is characterized by the presence of endometrial tissue outside the uterine cavity and is rarely found subcutaneously or in abdominal incisions, causing it to be overlooked in patients with abdominal pain.
METHODS
A 45-year-old woman presented with lower abdominal pain 2 years following a laparoscopic supracervical hysterectomy. She was found to have incidental cholelithiasis and a large abdominal mass suggestive of a significant ventral hernia on CT scan.
RESULTS
Due to the peculiar presentation, surgical intervention took place that revealed a large 9cm×7.6cm×6.2cm abdominal wall endometrioma.
CONCLUSION
Although extrapelvic endometriosis is rare, it should be entertained in the differential diagnosis for the female patient who presents with an abdominal mass and pain and has a previous surgical history.
背景
子宫内膜异位症是女性的常见病症，在育龄期女性中，高达45%的患者受其影响而出现盆腔疼痛。其特征是子宫腔外存在子宫内膜组织，皮下或腹部切口处很少见，这使得腹痛患者容易被忽视。
方法
一名45岁女性在腹腔镜子宫颈上子宫切除术后2年出现下腹部疼痛。CT扫描发现她有偶然的胆结石和一个大的腹部肿块，提示有明显的腹侧疝。
结果
由于表现特殊，进行了手术干预，发现一个9cm×7.6cm×6.2cm的大腹壁子宫内膜瘤。
结论
虽然盆腔外子宫内膜异位症很少见，但对于有腹部肿块和疼痛且有手术史的女性患者，在鉴别诊断时应考虑到。
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