Cardiothoracic Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Greece.
Int J Gen Med. 2012;5:569-71. doi: 10.2147/IJGM.S32904. Epub 2012 Jun 29.
The case of a tender, isolated abdominal wall tumor within a Pfannenstiel incision due to a seeding deposit of endometrial tissue secondary to a previous obstetric operation (caesarean section) in a 39-year-old female without previously reported pelvic endometriosis is presented. The lesion clinically mimicked the appearance of an incarcerated incisional hernia at the outer corner of the healed Pfannenstiel incision. The preoperative differential diagnosis also included that of a locally forming post-operative tender granuloma and the remote possibility of an incisional endometrioma (although no link to menstruation could be made). Local malignancy was not taken as a serious possibility. Definitive diagnosis of the excised lesion was made at histology. The pre-operative diagnostic dilemma is presented, along with a short review of the literature.
一位 39 岁女性，既往无盆腔子宫内膜异位症病史，因既往产科手术（剖宫产术）导致子宫内膜组织播散种植而在 Pfannenstiel 切口处出现一个柔软孤立的腹壁肿瘤。该病变临床类似于愈合的 Pfannenstiel 切口外角处嵌顿切口疝的外观。术前鉴别诊断还包括术后形成的局部触痛性肉芽肿和远处形成的切口子宫内膜瘤（尽管与月经无关联）的可能。局部恶性肿瘤未被视为严重可能。切除病变的明确诊断是通过组织学检查做出的。提出了术前诊断难题，并对文献进行了简短回顾。
