Kitajima Takahito, Inoue Mikihiro, Uchida Keiichi, Otake Kohei, Kusunoki Masato
Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Int Surg. 2013 Apr-Jun;98(2):145-8. doi: 10.9738/INTSURG-D-12-00011.1.
Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surgery has not been reported, and here we present the first known case. A 26-year-old woman with a history of bladder exstrophy was aware of a painful induration at the operative scar located in the left lower abdominal wall, and presented at our hospital. Although the symptoms resolved, recurring exacerbation was observed after 9 months. Abdominal magnetic resonance imaging showed a heterogeneous mass 16 mm in diameter in the left abdominal wall with high signal intensity on T1W1 and T2W1 images. She underwent excisional biopsy of the lesion under general anesthesia. Histopathology confirmed the diagnosis of endometriosis. Eighteen months after surgery, she was well and free from recurrence.
子宫内膜异位症是指在子宫腔外的区域出现形态和功能上类似于子宫内膜组织的异位组织。尽管手术后瘢痕子宫内膜异位症在所有盆腔外形式的子宫内膜异位症中最为常见，但膀胱外翻手术后的子宫内膜异位症尚未见报道，在此我们报告首例已知病例。一名有膀胱外翻病史的26岁女性，意识到位于左下腹壁手术瘢痕处有疼痛性硬结，遂来我院就诊。尽管症状有所缓解，但9个月后观察到复发加重。腹部磁共振成像显示左腹壁有一个直径16mm的异质性肿块，在T1W1和T2W1图像上呈高信号强度。她在全身麻醉下接受了病变切除活检。组织病理学确诊为子宫内膜异位症。手术后18个月，她情况良好，无复发。
