Bilgin Ismail Ahmet, Bas Mustafa, Bassullu Nuray, Ozkayar Ozgur, Ramoglu Nur, Hamzaoglu Ismail
Department of General Surgery, Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, Istanbul, Turkiye.
Department of General Surgery, Marmara University Faculty of Medicine, Istanbul, Turkiye.
North Clin Istanb. 2025 Apr 25;12(2):253-257. doi: 10.14744/nci.2024.86244. eCollection 2025.
Endometriosis is an estrogen-dependent benign disease that generally affects women at childbearing age. Despite its high incidence, pathogenesis of endometriosis is poorly clarified. There are several theories explaining the mechanism of disease such as retrograde menstruation, coelomic metaplasia, vascular and lymphatic metastasis. While endometriosis has been described in many intra- and extra-abdominal organs including the ovaries, omentum, colon, liver, lungs and brain, parenchymal splenic endometriosis is a rare situation. In recent years, with reported cases, this rare condition came onto the scene. We also wanted to present our case and question the idea of splenic immunity against endometriosis according to current literature. From now on, splenic endometriosis can be thought of as a differential diagnosis for unidentified lesions of spleen.
子宫内膜异位症是一种雌激素依赖性良性疾病，通常影响育龄期女性。尽管其发病率很高，但其发病机制仍不清楚。有几种理论解释该疾病的机制，如经血逆流、体腔化生、血管和淋巴转移。虽然子宫内膜异位症已在许多腹内和腹外器官中被描述，包括卵巢、大网膜、结肠、肝脏、肺和脑，但脾实质子宫内膜异位症是一种罕见情况。近年来，随着病例报告的出现，这种罕见病症开始受到关注。我们也想介绍我们的病例，并根据当前文献对脾脏对子宫内膜异位症的免疫观点提出质疑。从现在起，脾子宫内膜异位症可被视为脾脏不明病变的鉴别诊断。
