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以肛周脓肿形式表现的子宫内膜异位症：病例报告

Endometriosis presenting as a perianal abscess: case report.

作者信息

Kim Jieun, Yun Jung-A, Youn Sangmin, Park Mi-Ok

机构信息

Department of Surgery, Centum Surgical Clinic, 142, Anyang-ro, Manan-gu, Anyang-si, Gyeonggi-do 14034, South Korea.

MioGreensumer Pathology Clinic, Room 705, Seochangvisionplaza Bldg., 55, Seochangbangsan-ro, Namdong-gu, Incheon 21617, South Korea.

出版信息

J Surg Case Rep. 2024 Jun 4;2024(6):rjae402. doi: 10.1093/jscr/rjae402. eCollection 2024 Jun.

DOI:10.1093/jscr/rjae402
PMID:38835945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11149556/
Abstract

Endometriosis is common benign disorder characterized by the presence of endometrial glands and stroma outside the uterine cavity. Endometriosis of perianal region is a rare condition. We report a case of perianal endometriosis presenting initially as a perianal abscess. Transperineal ultrasound showed a 1.5 cm size irregular mixed echogenicity lesion without involving anal sphincters. Complete surgical excision was performed. The histopathological examination confirmed as endometriosis.

摘要

子宫内膜异位症是一种常见的良性疾病，其特征是子宫腔外存在子宫内膜腺体和间质。肛周子宫内膜异位症是一种罕见的病症。我们报告一例最初表现为肛周脓肿的肛周子宫内膜异位症病例。经会阴超声显示一个1.5厘米大小的不规则混合回声病变，未累及肛门括约肌。进行了完整的手术切除。组织病理学检查确诊为子宫内膜异位症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c57/11149556/0655060b7a71/rjae402f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c57/11149556/ccab30a3a44e/rjae402f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c57/11149556/0655060b7a71/rjae402f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c57/11149556/ccab30a3a44e/rjae402f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c57/11149556/0655060b7a71/rjae402f2.jpg

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本文引用的文献

1
Perianal Endometriosis: An Uncommon Site for a Common Problem.肛周子宫内膜异位症：常见问题的罕见部位。
Cureus. 2023 Sep 7;15(9):e44840. doi: 10.7759/cureus.44840. eCollection 2023 Sep.
2
Isolated Perianal Endometrioma: A Case Report and Literature Review.孤立性肛周子宫内膜异位症：病例报告及文献复习。
Am J Case Rep. 2022 Jan 4;23:e934745. doi: 10.12659/AJCR.934745.
3
Characteristics and long-term outcomes of perineal endometriosis: A retrospective study.会阴子宫内膜异位症的特征与长期预后：一项回顾性研究。
Medicine (Baltimore). 2020 Jun 5;99(23):e20638. doi: 10.1097/MD.0000000000020638.
4
Endometriosis.子宫内膜异位症
N Engl J Med. 2020 Mar 26;382(13):1244-1256. doi: 10.1056/NEJMra1810764.
5
The clinical features and management of perineal endometriosis with anal sphincter involvement: a clinical analysis of 31 cases.会阴子宫内膜异位症合并肛门括约肌受累的临床特征与处理：31 例临床分析。
Hum Reprod. 2012 Jun;27(6):1624-7. doi: 10.1093/humrep/des067. Epub 2012 Mar 15.
6
Perianal Endometriosis Mimicking Recurrent Perianal Abscess.酷似复发性肛周脓肿的肛周子宫内膜异位症
Case Rep Gastroenterol. 2009 Nov 25;3(3):414-417. doi: 10.1159/000250787.
7
Endoanal ultrasonography in the diagnosis and operative management of perianal endometriosis: report of two cases.经肛门超声检查在肛周子宫内膜异位症诊断及手术治疗中的应用：两例报告
Tech Coloproctol. 2006 Dec;10(4):357-60. doi: 10.1007/s10151-006-0309-7. Epub 2006 Nov 27.
8
Perineal endometriosis with anal sphincter involvement: report of a case.累及肛门括约肌的会阴子宫内膜异位症：病例报告
Dis Colon Rectum. 2000 Aug;43(8):1157-60. doi: 10.1007/BF02236565.