Healy Estelle G, McCluggage W Glenn
Department of Pathology, Belfast Health and Social Care Trust, Belfast, Northern Ireland.
Int J Surg Pathol. 2012 Jun;20(3):301-4. doi: 10.1177/1066896911424900. Epub 2011 Oct 13.
Endometriosis is a common condition in women of reproductive age and has a known propensity to involve abdominal wall scars. The authors report 2 cases of endometriosis presenting as mass lesions involving the abdominal wall at the site of insertion of ventriculoperitoneal and lumboperitoneal shunts. In both cases, there was clinical evidence of shunt compromise. Endometriosis involving the site of shunt insertion is an extremely rare phenomenon with, as far as the authors are aware, only a single previously reported case. However, it should be considered in the differential diagnosis when a mass develops at a shunt site in a woman of reproductive age.
子宫内膜异位症是育龄女性的常见病症,已知其有累及腹壁瘢痕的倾向。作者报告了2例子宫内膜异位症病例,表现为肿块病变,累及脑室腹腔分流管和腰腹腔分流管置入部位的腹壁。在这两例病例中,均有分流管功能障碍的临床证据。据作者所知,子宫内膜异位症累及分流管置入部位是一种极其罕见的现象,此前仅有1例报道。然而,当育龄女性的分流管部位出现肿块时,在鉴别诊断中应考虑到这种情况。