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Sezaryen skarında insizyonel endometriozis olgusu

Incisional endometriosis after caesarean section: a case report

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2013

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Endometriosis is defined as the presence of endometrial tissue out ¬side the uterine cavity. It is known to be detected in scar tissue after ceaserean section, hysterectomy, appendectomy, laparascopy, amniosynthesis and episiotomy. The incidence of endometriosis in scar tissue after ceaserean section is between 0.03-0.4%. In our case, endometriosis in ceaserean scar tissue is detected 5 years after ceaserean section. Patient is treated with wide surgical incision, and pathology revealed endometriosis. Presence of cyclic pain of a mass related with ceaserean section scar tissue is pathognomonic of ceaserean scar endometriosis, and extrusion of the mass with wide excision is the treatment modality. Patients should be given appro¬priate care for their specific problems, besides giving comprehen¬sive care in family medicine.
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Abstract (Original Language): 
Endometriyozis endometrial dokunun uterin kavitenin dışında bulunması hali olarak tanımlanmıştır. Sezaryen, histerektomi, apendek-tomi, laparoskopi sonrası trokar yerinde, amniyosentez, epizyotomi sonrasında skar dokusunda endometriosis saptanabildiği bilinmektedir. Sezaryen sonrası skar dokusunda endometriyosis gelişme sıklığı %0.03-%0.4 arasında değişmektedir. Olgumuzda sezaryen operasyonundan 5 yıl sonra sezaryen skar yerinde kitle geliştiği saptandı. Geniş lokal eksizyonla çıkarılan kitlenin patolojisi endometriyozis olarak belirlendi. Sezaryen skarı ile ilişkili bir kitlede dönemsel ağrıların varlığı sezaryen skar endometriyozisi açısından patognomonik olup kitlenin geniş eksizyonla çıkarımı ile tedavi edilmektedir. Aile Hekimliği bütüncül yaklaşımı içerisinde hastaların özelliği olan sorunlarının da farkında olunarak hastalara gereken hizmet verilmelidir
FULL TEXT (PDF): 
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  • 1
23-25
  • Turkish

REFERENCES

References: 

1. Francica G, Giardello C, Angelone G, Christiano S, Finelli R, Tramontano G. Abdominal wall endometrioma near ceaseraean delivery scars. J Ultrasound Med 2003;22:1041-7.
2. Gordon CW, Singh KB. Cesarean scar endometriosis: a review. Obstet Gynecol Surv 1989;42:89-95.
3. Eogan M, McKenna P. Endometriosis in caesarean section scars. Ir Med
J2002;95:247.
4. Balleyguier C, Chapron C, Chopin N, Helenon O, Menu Y. Abdominal wall and surgical scar endometriosis: Results of magnetic resonance imag¬ing. Gynecol Obstet Invest 2003;55:220-4.
5. Aimakhu VE. Anterior abdominal wall endometriosis complicating a uteroabdominal sinus following classical cesarean section. Int Surg 1975;
60:103-4.
6. Pados G, Tympanidis J, Zafrakas M, Athanatos D, Bontis JN. Ultrasound and MR-imaging in preoperative evaluation of two rare cases of scar endometriosis. Cases J2008;1:97.
7. Veda P, Srinivasaiah M. Incisional endometriosis: diagnosed by fine nee¬dle aspiration cytology. J Lab Physicians 2010;2:117-20.
8. Ridley JH, Edwards K. Experimental endometriosis in the human. Am J
Obstet Gynecol 1958;76:783-9.
9. Singh KK, Lessell M, Adam DJ, et al. Presentation of endometriosis to general surgeon: a 10 year experience. Br J Surg 1995;82:1349-51.
10. Honore GM. Extrapelvic endometriosis. Clin Obstet Gynecol 1999;42:699-711.
11. Firilas A, Soi A, Max M. Abdominal incisional endometriosis. Am J Surg
1994;60:259-61.
12. Nirula R, Greaney GC. Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg 2000;90:404-7.
13. Aydin O. Scar endometriosis - a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases. Langenbecks Arch Surg 2007;392:105-9.
14. Wolf Y, Haddad R,Werbin N, Skornick Y, Kaplan O . Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg 1996;62:1042-4.
15. Akbulut S, Sevinc MM, Bakir S, Cakabay B, Sezgin A. Scar endometrio-sis in the abdominal wall: a predictable condition for experienced sur¬geons. Acta Chir Belg2010;110:303-7.
16. Amato M, Levitt R. Abdominal wall endometrioma: CT findings. J Comput Assist Tomogr1984;8:1213-4.
17. Kauntz A, Di Sant'Agnese PA. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol1979;54:753-5.
18. Subrata CK. Scar endometriosis: clinicopathologic study of 17 cases.
Obstet Gynecol1980;56:81-4.
19. Seydel AS, Sickel JZ, Warner ED, Sax HC. Extraplevic endometriosis: diagnosis and treatment. Am J Surg 1996;177:239-41.
20. Lipscomb GH, Givens VM, Smith WE. Endometrioma occurring in abdominal wall incisions after cesarean section. J Reprod Med 2011;56:44-6.
21. Khammash MR, Omari AK, Gasaimeh GR, Bani-Hani KE. Abdominal wall endometriosis. An overlooked diagnosis. Saudi Med J2003;24:523-5.

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