Brouha P C, de Lange D W, Broekhuysen C L, Scholten E, Schipper M E, Kon M
Academisch Ziekenhuis, afd. Plastische, Reconstructieve en Handchirurgie, Utrecht.
Ned Tijdschr Geneeskd. 1997 Apr 12;141(15):740-3.
A woman aged 36, who two years previously had undergone a caesarean section, developed a painful swelling of the scar attributed to cicatricial endometriosis. This is a rare disorder brought about by peroperative displacement of normally or ectopically situated uterine mucous membrane to the surgical wound. There, it may proliferate and cause characteristic signs and symptoms that are simple to diagnose: cyclic pain, swellings and sometimes, bleedings. Pharmaceutical, possible hormonal treatment is of limited value, because cessation of the medication is frequently followed by recurrences. Consequently, ample surgical excision in endometriosis is to be preferred; this is to be regarded as a curative therapy.
一名36岁女性，两年前接受了剖宫产手术，因瘢痕性子宫内膜异位症出现瘢痕疼痛性肿胀。这是一种罕见的疾病，由正常或异位的子宫黏膜在手术中移位至手术伤口所致。在那里，它可能会增殖并引起易于诊断的特征性体征和症状：周期性疼痛、肿胀，有时还有出血。药物治疗，可能的激素治疗效果有限，因为停药后常常复发。因此，对于子宫内膜异位症，充分的手术切除更为可取；这应被视为一种治愈性疗法。
