Kyejo Willbroad, Moshi Brenda, Massanga Euphraim, Ntiyakunze Gregory, Mgonja Miriam, Kaguta Munawar, Mdachi Ernest
Department of Family Medicine, Aga Khan University, Dar es Salaam, Tanzania.
Department of Obstetrics and Gynecology, Aga Khan University, Dar es Salaam, Tanzania.
SAGE Open Med Case Rep. 2024 Mar 7;12:2050313X241237333. doi: 10.1177/2050313X241237333. eCollection 2024.
Abdominal wall endometriosis refers to the presence of endometrial tissue within surgical scars, most commonly occurring following gynecological procedures such as cesarean sections. This case report presents a rare case of abdominal wall endometriosis in a cesarean scar. The patient, a 32-year-old woman with a history of two previous cesarean sections, presented with cyclic pain and swelling in the lower abdominal region. Physical examination revealed a tender, well-defined mass within the cesarean scar. Surgical excision of the mass was performed, and histopathological examination confirmed the presence of endometrial tissue. This case highlights the importance of considering abdominal wall endometriosis in the differential diagnosis of patients presenting with cyclic pain or swelling in previous surgical scars. Prompt diagnosis and appropriate management can help alleviate symptoms and prevent complications.
腹壁子宫内膜异位症是指手术瘢痕内存在子宫内膜组织，最常见于剖宫产等妇科手术后。本病例报告呈现了一例剖宫产瘢痕处罕见的腹壁子宫内膜异位症。患者为一名32岁女性，有两次剖宫产史，出现下腹部周期性疼痛和肿胀。体格检查发现剖宫产瘢痕内有一个压痛明显、边界清晰的肿块。对该肿块进行了手术切除，组织病理学检查证实存在子宫内膜组织。本病例强调了在鉴别诊断既往手术瘢痕处出现周期性疼痛或肿胀的患者时考虑腹壁子宫内膜异位症的重要性。及时诊断和适当处理有助于缓解症状并预防并发症。
