Seydel A S, Sickel J Z, Warner E D, Sax H C
Department of Surgery, University of Rochester School of Medicine and Dentistry, New York USA.
Am J Surg. 1996 Feb;171(2):239. doi: 10.1016/S0002-9610(97)89557-8.
Young women with nondescript abdominal pain can be difficult to diagnose. Although extrapelvic endometriosis is infrequent, we have treated 7 patients over the past 3 years with endometriosis in the abdominal wall, inguinal canal, or surgical incisions as the etiology of their symptoms.
We reviewed the medical records of patients whose final pathology report confirmed a diagnosis of extrapelvic endometriosis. Seven women who were treated at the University of Rochester Strong Memorial Hospital from May 1, 1991 through April 30, 1994 were identified.
All patients were premenopausal with no history of pelvic endometriosis. In 4 patients, symptoms were cyclical. Surgical excision was initially curative in 5 patients. Two women required reexcision. The diagnosis of endometriosis was established at exploration by gross appearance and by frozen section.
Endometriosis should be included in the differential diagnosis of a symptomatic mass in a celiotomy scar, the abdominal wall, or the inguinal canal. Principles of management include obtaining an accurate diagnosis and performing an adequate excision to prevent recurrence.
患有难以描述的腹痛的年轻女性可能难以诊断。尽管盆腔外子宫内膜异位症并不常见，但在过去3年中，我们治疗了7例以腹壁、腹股沟管或手术切口处的子宫内膜异位症为症状病因的患者。
我们回顾了最终病理报告确诊为盆腔外子宫内膜异位症患者的病历。确定了1991年5月1日至1994年4月30日在罗切斯特大学斯特朗纪念医院接受治疗的7名女性。
所有患者均处于绝经前，无盆腔子宫内膜异位症病史。4例患者症状呈周期性。5例患者手术切除最初有疗效。2名女性需要再次切除。通过大体外观和冰冻切片在探查时确诊为子宫内膜异位症。
在诊断剖腹手术瘢痕、腹壁或腹股沟管有症状的肿块时，应将子宫内膜异位症纳入鉴别诊断。治疗原则包括获得准确诊断并进行充分切除以防止复发。
