腹腔镜术后右侧穿刺部位腹壁子宫内膜异位症：病例报告及文献复习
Abdominal Wall Endometriosis on the Right Port Site After Laparoscopy: Case Report and Literature Review.
作者信息
Cozzolino Mauro, Magnolfi Stefania, Corioni Serena, Moncini Daniela, Mattei Alberto
机构信息
Department of Biomedical, Experimental, and Clinical Sciences-Division of Obstetrics and Gynecology, University of Florence, Florence, Italy.
Department of Biomedicine, Histology, and Molecular Diagnostics, Careggi University Hospital, Florence, Italy.
出版信息
Ochsner J. 2015 Fall;15(3):251-5.
BACKGROUND
Endometriosis can be intrapelvic or, rarely, extrapelvic. Endometriosis involving the rectus abdominis muscle on the trocar port site is a rare event; until now, only 16 cases have been reported in the literature. The majority of cases were associated with previous abdominal surgery such as diagnostic laparoscopy, cyst excision, appendectomy, myomectomy, or cholecystectomy. We review all the reported cases of this unusual form of extrapelvic endometriosis.
CASE REPORT
We report a new case of abdominal wall endometriosis at the trocar port site in the rectus abdominis muscle in a woman who had undergone 2 laparoscopies for endometriosis in the 3 years before coming to our attention. The diagnosis was made by sonography. We performed a surgical resection of the lesion with a free macroscopic margin of 5-10 mm.
CONCLUSION
Endometriosis should be considered in the differential diagnosis of any abdominal swelling. In our experience, surgery is the treatment of choice.
背景
子宫内膜异位症可发生于盆腔内，少数情况下也可出现在盆腔外。累及腹壁直肌套管穿刺部位的子宫内膜异位症是一种罕见情况；截至目前，文献中仅报道了16例。大多数病例与既往腹部手术有关，如诊断性腹腔镜检查、囊肿切除术、阑尾切除术、子宫肌瘤切除术或胆囊切除术。我们回顾了所有已报道的这种特殊类型盆腔外子宫内膜异位症的病例。
病例报告
我们报告了1例腹壁直肌套管穿刺部位的子宫内膜异位症新病例，该患者在引起我们注意前3年内因子宫内膜异位症接受了2次腹腔镜检查。诊断通过超声检查做出。我们对病变进行了手术切除，手术切缘肉眼下无瘤距为5 - 10毫米。
结论
在鉴别诊断任何腹部肿物时均应考虑子宫内膜异位症。根据我们的经验，手术是首选治疗方法。
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