University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Department of Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
S D Med. 2024 Jul;77(7):310-314.
Abdominal wall endometriosis is a rarely reported condition with increasing incidence linked to pelvic surgery, and is also referred to as incisional endometriosis. Here we report two cases of women with previous history of Cesarean section who presented with abdominal wall masses years after surgery. In both cases, CT imaging was used to visualize the masses and surgical exploration and tissue examination revealed the excised masses to be endometriosis of the abdominal wall. Etiology of this ectopic endometrial tissue may be iatrogenic and caused by implantation of endometrial tissue during operative proceedings. This paper aims to highlight the incidence of abdominal wall endometriosis and to discuss differential diagnoses and management.
腹壁子宫内膜异位症是一种罕见的疾病，发病率与盆腔手术有关，也被称为切口子宫内膜异位症。本文报告了两例有剖宫产史的女性，在手术后数年出现腹壁肿块。在这两种情况下，CT 成像用于显示肿块，手术探查和组织检查显示切除的肿块为腹壁子宫内膜异位症。这种异位子宫内膜组织的病因可能是医源性的，是在手术过程中种植子宫内膜组织引起的。本文旨在强调腹壁子宫内膜异位症的发病率，并讨论鉴别诊断和治疗。
