Permatasari Nisa Utami Ika, Hutabarat Fadlan Fediansyah, Putri Henny Meitri Andrie Rachmasari
Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia
Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia.
BMJ Case Rep. 2021 May 4;14(5):e239923. doi: 10.1136/bcr-2020-239923.
Scar endometriosis is a rare condition highly related to history of abdominal surgery. Due to the low incidence, it is often misdiagnosed. A woman presented to the surgery outpatient clinic with a mass near her C-section scar. Physical examination and ultrasound suggested Incisional Hernia while intraoperative finding revealed a mass suggestive of endometriosis which later confirmed by pathology examination. Scar endometriosis is a common subtype of extra-pelvic endometriosis. Iatrogenic transplantation is speculated to be its etiopathogenesis. Preoperatively, it is challenging to differentiate endometriosis from another abdominal masses. The definitive diagnosis is based on laparoscopy or surgery with histological verification. Chronic pain is complex and often involves multiple factors beyond simply a diagnosis of endometriosis, but it is important to think of endometriosis on women patients presenting with a mass and cyclic pain with history of surgery involving a large amount of endometrial cell.
瘢痕子宫内膜异位症是一种与腹部手术史高度相关的罕见病症。由于发病率低，它常常被误诊。一名女性因剖宫产瘢痕附近出现肿块到外科门诊就诊。体格检查和超声提示为切口疝，而术中发现肿块提示为子宫内膜异位症，随后经病理检查得以证实。瘢痕子宫内膜异位症是盆腔外子宫内膜异位症的常见亚型。推测医源性移植是其发病机制。术前，将子宫内膜异位症与其他腹部肿块区分开来具有挑战性。明确诊断基于腹腔镜检查或手术及组织学验证。慢性疼痛情况复杂，往往涉及多个因素，不仅仅是子宫内膜异位症的诊断，但对于有大量子宫内膜细胞手术史且出现肿块和周期性疼痛的女性患者，考虑子宫内膜异位症很重要。
