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盆腔外子宫内膜异位症:一例胰腺受累病例

Endometriosis Beyond the Pelvis: A Case of Pancreatic Involvement.

作者信息

Naseer Adan, Davis Boyd M, Serji Sara A

机构信息

Internal Medicine, Eastern Virginia Medical School, Norfolk, USA.

出版信息

Cureus. 2024 Sep 30;16(9):e70530. doi: 10.7759/cureus.70530. eCollection 2024 Sep.

Abstract

The prevalence of dysmenorrhea, the pain while menstruating, is high. Although most cases are benign, there should be a high suspicion of other etiologies such as endometriosis with recurrent episodes. Inaccurate or delayed diagnosis and treatment of endometriosis can lead to increased hospital visits and costs. We report the case of a 46-year-old female with a history of frequent hospital visits due to dysmenorrhea and menorrhagia, presented with clinical, laboratory, and image findings of pancreatitis with biopsy revealing endometriosis. This case report aims to highlight pancreatic endometriosis, a different and rare cause of pancreatitis, which should be suspected in cases of recurrent hospital visits with recurrent menstrual pain and abnormal presentation of pancreatitis.

摘要

痛经(即月经期间的疼痛)的患病率很高。虽然大多数病例是良性的,但对于其他病因,如反复出现的子宫内膜异位症,应高度怀疑。子宫内膜异位症的诊断不准确或延迟会导致就诊次数增加和费用上升。我们报告了一例46岁女性病例,该患者因痛经和月经过多频繁就诊,其临床、实验室和影像学检查结果显示为胰腺炎,活检显示为子宫内膜异位症。本病例报告旨在强调胰腺子宫内膜异位症,这是胰腺炎的一种不同寻常且罕见的病因,对于因反复月经疼痛和胰腺炎异常表现而反复就诊的病例应怀疑有此病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de6e/11524329/f614684dc055/cureus-0016-00000070530-i01.jpg

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