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剖宫产瘢痕子宫内膜异位症:一种日益常见的罕见手术并发症?病例报告与文献综述

Cesarean Scar Endometriosis: An Uncommon Surgical Complication on the Rise? Case Report and Literature Review.

作者信息

Khachani Imane, Filali Adib Abdelhai, Bezad Rachid

机构信息

Centre National de Santé Reproductrice, 1 rue Soekarno, 10100 Rabat, Morocco.

出版信息

Case Rep Obstet Gynecol. 2017;2017:8062924. doi: 10.1155/2017/8062924. Epub 2017 Feb 23.

Abstract

Endometriosis is defined by the presence and growth of ectopic functional endometrial tissue outside the uterus. Scar endometriosis has been described following obstetrical and gynecological surgery. It is a rare condition, though probably on the rise, due to the considerable increase of cesarean sections performed worldwide. Its physiopathology is complex; its symptomatology is rich and diverse but thorough clinical examination along with ultrasound imaging and potentially pretherapeutic cytologic evaluation are usually efficient in diagnosing the condition. Treatment is mostly surgical. We report the case of a cesarean section scar endometriosis, managed at a tertiary level center and emphasize the diagnosis and treatment options.

摘要

子宫内膜异位症是由子宫外异位功能性子宫内膜组织的存在和生长所定义的。瘢痕子宫内膜异位症已在妇产科手术后被描述。它是一种罕见的病症,尽管可能呈上升趋势,这是由于全球范围内剖宫产手术数量的显著增加。其病理生理学复杂;其症状丰富多样,但全面的临床检查以及超声成像和潜在的治疗前细胞学评估通常对诊断该病症有效。治疗主要是手术治疗。我们报告一例在三级中心处理的剖宫产瘢痕子宫内膜异位症病例,并强调诊断和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/38f11aca0299/CRIOG2017-8062924.001.jpg

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