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误诊为肛周脓肿：肛周子宫内膜异位症病例报告

Misdiagnosed as a perianal abscess: case report of perianal endometriosis.

作者信息

Ding Xuejiao, Tao Yichao, Hu Cong, Wu Xiaofeng

机构信息

Department of Ultrasound Imaging, Xiaogan Hospital, Affiliated to Wuhan University of Science and Technology, Xiaogan Central Hospital, Xiaogan, Hubei, PR China.

出版信息

J Surg Case Rep. 2024 Aug 30;2024(8):rjae539. doi: 10.1093/jscr/rjae539. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae539
PMID:39220168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11362988/
Abstract

Perianal endometriosis represents a rare form of endometriosis occurring outside the pelvic cavity. Owing to its infrequency in clinical practice, this condition is highly susceptible to misdiagnosis and inappropriate treatment. This case report details a young female patient who was erroneously diagnosed with a perianal abscess. We conducted a para-anal mass resection under spinal anesthesia, and subsequent histopathological examination definitively confirmed the diagnosis of perianal endometriosis.

摘要

肛周子宫内膜异位症是一种发生在盆腔外的罕见子宫内膜异位症形式。由于其在临床实践中较为少见，这种病症极易被误诊和接受不恰当的治疗。本病例报告详细介绍了一名年轻女性患者，她最初被错误诊断为肛周脓肿。我们在脊髓麻醉下进行了肛门旁肿物切除术，随后的组织病理学检查最终确诊为肛周子宫内膜异位症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/e708ad6a1777/rjae539f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/537e80f0ec34/rjae539f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/f1ed8857202b/rjae539f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/e708ad6a1777/rjae539f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/537e80f0ec34/rjae539f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/f1ed8857202b/rjae539f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11362988/e708ad6a1777/rjae539f3.jpg

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本文引用的文献

1
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.
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Diagnosis and Treatment of Vulvo-Perineal Endometriosis: A Systematic Review.外阴-会阴子宫内膜异位症的诊断与治疗：一项系统评价
Front Surg. 2021 May 11;8:637180. doi: 10.3389/fsurg.2021.637180. eCollection 2021.
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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.
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Endometriosis-associated Malignancy.子宫内膜异位症相关恶性肿瘤
Geburtshilfe Frauenheilkd. 2016 Feb;76(2):176-181. doi: 10.1055/s-0035-1558239.
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Perianal endometriosis mimicking recurrent perianal abscess: case report and literature review.肛周子宫内膜异位症酷似复发性肛周脓肿：病例报告及文献复习
Int J Colorectal Dis. 2016 Jul;31(7):1385-6. doi: 10.1007/s00384-015-2489-y. Epub 2015 Dec 29.
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Detection and localization of deep endometriosis by means of MRI and correlation with the ENZIAN score.通过磁共振成像（MRI）检测和定位深部子宫内膜异位症及其与ENZIAN评分的相关性
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Tech Coloproctol. 2010 Nov;14 Suppl 1:S25-7. doi: 10.1007/s10151-010-0642-8.
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Presentation and management of perineal endometriosis.会阴子宫内膜异位症的临床表现与治疗
Int J Gynaecol Obstet. 2009 Jun;105(3):230-2. doi: 10.1016/j.ijgo.2009.01.022. Epub 2009 Mar 28.
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Actuarial analysis of private payer administrative claims data for women with endometriosis.对子宫内膜异位症女性私人付费者管理索赔数据的精算分析。
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Malignant degeneration of perineal endometriosis in episiotomy scar, case report and review of the literature.会阴侧切术瘢痕处子宫内膜异位症恶变：病例报告及文献复习
Int J Gynecol Cancer. 2007 May-Jun;17(3):709-14. doi: 10.1111/j.1525-1438.2007.00822.x. Epub 2007 Feb 9.