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ABDOMİNAL DUVAR ENDOMETRİOZİSİ

ABDOMINAL WALL ENDOMETRIOSIS

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Abstract (2. Language): 
Endometriosis is defined as the occurence of endometrial glands and stroma outside the uterine cavity in fertile women. The aim of this article is to review the clinical findings and imaging results of two cases with endometriosis of caesarean section incision scars. The 35 and 40 years old two women had painful masses at the left side of the caesarean incision scars at their menstruation periods. 1st patient had one caesarean section and the second had two. Superficial ultrasound showed incisional hernia in both. Both patients were operated and their masses over the rectus sheaths were excised completely. The final pathological diagnosis was abdominal wall endometriosis. Abdominal wall endometriosis should be considered in the differential diagnosis of masses located at the caesarean incision scars which are painful during menstruation periods, and the mass must be excised without rupture.
Abstract (Original Language): 
Doğurganlık yaĢındaki kadınlarda görülen ve endometrial bezlerin ve stromanın uterin kavitenin dıĢında bulunması endometriozis olarak adlandırılır. Bu yazının amacı sezeryan skarında endometriozis görülen iki olgunun klinik bulgularını ve görüntüleme sonuçlarını gözden geçirmektir. 35 ve 40 yaĢında iki kadın hastada sezeryan insizyon skarının sol kenarında menstruasyon dönemlerinde artan ağrılı kitle vardı. Birinci hasta bir kez, ikinci hasta iki kez sezeryan ameliyatı geçirmiĢ idi. Muayenede ele gelen kitlelere yönelik yapılan yüzeyel ultrasonografi sonucu insizyonel herni ile uyumlu olarak geldi. Opere edilen her iki hastada da insizyon skarında rektus kılıfı üzerinde kitle saptandı ve tam olarak eksize edildi. Her iki olgunun patolojik tanısı abdominal duvar endometriozisi olarak gelmiĢtir. Sezeryan insizyon skarı üzerinde özellikle menstruasyon dönemlerinde ağrılı kitlesi olan hastalarda karın duvarı endometriozisi ön tanılar arasında düĢünülmelidir ve kitle rüptüre edilmeden eksize edilmelidir.
134-136

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