认识腹壁子宫内膜异位症。

Recognizing abdominal wall endometriosis.

作者信息

Huber Marisa, Grosel John, Showen Chad

机构信息

At the time this article was written, Marisa Huber was a student in the PA program at Marietta (Ohio) College. She now practices as a hospitalist PA at the Cleveland (Ohio) Clinic. John Grosel is an associate professor in the PA program at Marietta College and a radiologist at Riverside Radiology and Interventional Associates, Inc., based in Columbus, Ohio. Chad Showen practices physical medicine and rehabilitation in the Memorial Health System in Marietta, Ohio. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2019 Jul;32(7):30-33. doi: 10.1097/01.JAA.0000558237.67863.aa.

DOI:10.1097/01.JAA.0000558237.67863.aa

PMID:31241608

Abstract

Abdominal wall endometriosis is ectopic endometrial tissue in the abdominal wall. Consider this condition in any woman presenting with chronic abdominal pain and a surgical history significant for exposure of the abdominal cavity to the endometrial canal. The diagnosis can be suspected with accurate history taking and a thorough physical examination. In patients with suspected abdominal wall endometriosis, MRI is the imaging study of choice and complete surgical resection is the treatment of choice.

摘要

腹壁子宫内膜异位症是指腹壁内的异位子宫内膜组织。对于任何有慢性腹痛且有腹腔暴露于子宫内膜腔的手术史的女性，都应考虑这种情况。通过准确的病史采集和全面的体格检查可怀疑该诊断。对于疑似腹壁子宫内膜异位症的患者，MRI是首选的影像学检查，而完整的手术切除是首选的治疗方法。