Dilday Elizabeth A, Lewis Michael S, Vahidi Kiarash, Memarzadeh Sanaz
Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
The VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA.
Case Rep Womens Health. 2020 Apr 24;27:e00210. doi: 10.1016/j.crwh.2020.e00210. eCollection 2020 Jul.
A 23-year-old patient with an asymptomatic anterior vaginal wall cyst was referred to gynecology for evaluation and treatment. Preoperative assessment with physical examination and magnetic resonance (MR) imaging of the pelvis was most consistent with Gartner's cyst. Following resection of the cyst wall, histologic evaluation demonstrated endometrial glands, hemosiderin-laden macrophages and inflammation, consistent with vaginal wall endometrioma. This case highlights challenges in the diagnosis of endometriosis in the vagina and in other rare locations, possible mechanisms of development, and proposed treatments.
一名23岁无症状阴道前壁囊肿患者被转诊至妇科进行评估和治疗。术前通过体格检查和盆腔磁共振成像评估，最符合加特纳囊肿。囊肿壁切除术后，组织学评估显示有子宫内膜腺体、含铁血黄素巨噬细胞和炎症，符合阴道壁子宫内膜异位症。该病例突出了阴道及其他罕见部位子宫内膜异位症诊断中的挑战、可能的发病机制及建议的治疗方法。
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