Nepali Rohit, Upadhyaya Kafle Santosh, Pradhan Tarun, Dhamala Jiba Nath
Department of Obstetrics and Gynaecology, Birat Medical College and Teaching Hospital, Buddhiganga-02, Morang, Biratnagar 56617, Nepal.
Department of Pathology, Birat Medical College and Teaching Hospital, Buddhiganga-02, Morang, Biratnagar 56617, Nepal.
Dermatopathology (Basel). 2022 May 5;9(2):158-163. doi: 10.3390/dermatopathology9020020.
Scar endometriosis or incisional endometriosis is the presence of endometrial tissues with glands in the previous incision or scar. Its overall estimated incidence after post-cesarean and post-hysterectomy is 0.03-0.4% and 1.08-2%, respectively. The patient presents with non-specific symptoms such as cyclical abdominal pain at the site of a previous surgical incision and scar and an abdominal lump with a cyclical increment in size, which is tender. The diagnosis is made only after the surgical excision with confirmation by histopathological analysis. We present the case of a 31-year-old female complaining of cyclical abdominal pain and a lump on the right side of a Pfannenstiel incision for five months. She had undergone two Lower Segment Caesarean Sections (LSCSs); the last surgery was eight months prior. Surgical excision was planned with the corresponding clinical features and radiological data. After the surgical excision, the sample was sent for histopathological examination, and scar endometriosis was diagnosed.
瘢痕子宫内膜异位症或切口子宫内膜异位症是指在前次手术切口或瘢痕处存在带有腺体的子宫内膜组织。剖宫产后和子宫切除术后其总体估计发病率分别为0.03 - 0.4%和1.08 - 2%。患者表现为非特异性症状，如在前次手术切口和瘢痕部位出现周期性腹痛，以及腹部肿块且大小呈周期性增大，并有压痛。仅在手术切除并经组织病理学分析证实后才能确诊。我们报告一例31岁女性病例，她因Pfannenstiel切口右侧周期性腹痛和肿块5个月前来就诊。她曾接受过两次下段剖宫产手术；最后一次手术是在8个月前。根据相应的临床特征和影像学资料计划进行手术切除。手术切除后，将样本送去做组织病理学检查，诊断为瘢痕子宫内膜异位症。
