Sedhain Nesuma, Dangal Ganesh, Karki Aruna, Pradhan Hema K, Shrestha Ranjana, Bhattachan Kabin, Poudel Rekha, Bajracharya Nishma
Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu Nepal.
J Nepal Health Res Counc. 2018 Jan 1;15(3):292-294. doi: 10.3126/jnhrc.v15i3.18859.
Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8-15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.
子宫内膜异位症是一种常见的良性妇科疾病，定义为子宫内膜腺体和间质出现在正常位置以外。在育龄妇女中，总体患病率为8% - 15%。瘢痕子宫内膜异位症是一种罕见疾病，难以诊断。它常见于妇产科手术后。症状不具特异性，通常在月经期间切口部位出现腹壁疼痛，且切口部位可触及压痛性肿块。通常只有在切除病变组织并进行组织学分析后才能确诊。我们在此报告一例腹壁瘢痕子宫内膜异位症病例，患者四年前接受了剖宫产手术。手术切除后确诊为瘢痕子宫内膜异位症。本文讨论了这种罕见疾病的发病机制、诊断和治疗。
