Fatima Kulsoom, Khanani Samina
Department of Radiology, Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2017 Jan;67(1):140-142.
Scar endometriosis is an uncommon but well-described condition. It is caused by the dissemination of endometrial tissue in the wound at the time of surgery. The deposits can involve uterine scar, abdominal musculature or subcutaneous tissue, with the latter being the most common. It usually presents as a palpable mass at the scar site with or without cyclical pain. We report three cases of scar endometriosis which presented with cyclical pain and swelling at the abdominal wall scar following uterine surgery. The patients underwent imaging which revealed abnormal findings at the scar site suggesting scar endometriosis. In the presence of strong clinical suspicion and supportive imaging, all three of them underwent local excision of the lesion. The diagnosis of endometriosis was confirmed on histopathology.
瘢痕内异症是一种罕见但已被充分描述的病症。它是由手术时子宫内膜组织在伤口处播散所致。这些沉积物可累及子宫瘢痕、腹部肌肉组织或皮下组织，其中皮下组织最为常见。它通常表现为瘢痕部位可触及的肿块，伴有或不伴有周期性疼痛。我们报告三例瘢痕内异症病例，这些病例在子宫手术后腹壁瘢痕处出现周期性疼痛和肿胀。患者接受了影像学检查，结果显示瘢痕部位有异常表现，提示瘢痕内异症。在临床高度怀疑且有影像学支持的情况下，所有三例患者均接受了病变局部切除术。组织病理学证实为内异症。
