Rei Christina, Williams Thomas, Feloney Michael
Creighton University School of Medicine, Omaha, NE, USA.
Division of Urologic Surgery, Creighton University School of Medicine, Omaha, NE, USA.
Case Rep Obstet Gynecol. 2018 Jan 31;2018:2083121. doi: 10.1155/2018/2083121. eCollection 2018.
Endometriosis occurs when a tissue resembling endometrial glands and stroma grows in ectopic sites, commonly causing infertility and pain. This condition is most often seen in women of reproductive age, involving pelvic sites such as the ovaries, broad ligaments, uterosacral ligaments, and posterior cul-de-sac. Very rarely, endometriosis has also been found in the lower genitourinary tract of men. A 40-year-old man presented to his primary care physician with abdominal pain. Further imaging discovered a midline mass. Surgical removal of the mass and histological investigations led to the diagnosis of endometriosis. There are multiple theories on the etiology of both female and male endometriosis. The prevailing risk factor proposed in previous cases of male endometriosis is prolonged exposure to estrogen therapy. Should endometriosis become symptomatic, cessation of estrogen therapy and careful surgical intervention may successfully relieve the associated symptoms.
当类似子宫内膜腺体和间质的组织在异位部位生长时，就会发生子宫内膜异位症，通常会导致不孕和疼痛。这种情况最常见于育龄女性，累及盆腔部位，如卵巢、阔韧带、子宫骶韧带和直肠子宫陷凹。非常罕见的是，在男性的下泌尿生殖道也发现过子宫内膜异位症。一名40岁男性因腹痛就诊于他的初级保健医生。进一步的影像学检查发现了一个中线肿块。手术切除肿块并进行组织学检查后诊断为子宫内膜异位症。关于女性和男性子宫内膜异位症的病因有多种理论。在先前的男性子宫内膜异位症病例中提出的主要危险因素是长期接受雌激素治疗。如果子宫内膜异位症出现症状，停止雌激素治疗并进行仔细的手术干预可能会成功缓解相关症状。
