Buradasınız

Anasayfa » Content

ABDOMİNAL DUVAR ENDOMETRİOZİSİ

ABDOMINAL WALL ENDOMETRIOSIS

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author Name
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.
Bookmark/Search this post with
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.
FULL TEXT (PDF): 
PDF icon arastirmax-abdominal-duvar-endometriozisi.pdf
  • 4
134-136
  • Turkish

REFERENCES

References: 

1. Balleyguier C,Chapron C, Chopin N, Helenon O, Menu Y. Abdominal wall and surgical scar endometriozis:result of magnetic resonance imaging.Gynecol Obstet Invest 2003 ;55(4):220-4.
2. Esquivel-Estrada V, Briones Garduno JC, Mondragon-Ballesteros R. Endometriosis implant in cesarean section surgical scar. 2004;72(2): 113-5.
3. Elabsi M,Lahlou MK, Rouas L, Essadel H, Benamer S, Mohammadi A, Taghi A, Chad B, Zizi A, Chokoff L, Belmahi A. Cicatrix endometriosis of the abdominal wall. Ann Chir 2002 ; 127 (1):65-7.
4. Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G, Abdominal Wall endometrioma near cesarean delivery scars. J Ultrasound Med 2003 ;22: 1041-1047.
5. James R. Scott, Philip J. Disaia, Charles B. Hammond, Wıllıam N. Spellacy, Endometriosis.In: Danforth Obstetrik ve Jinekoloji, Yüce reklam dağıtım, yedinci edisyon,1997;757-769.
6. Khetan N, Torkington J,Watkin A, Jamison MH, Humphreys WW,Endometriosis:presentation to general surgens . Ann R coll Surg Engl 1999;81:255-259.
7. Low RS, Jones AO,Hounang M, Newland L, Morey AL,Chan Ling T.Endometriosis of the imguinal region: Magnetic resonance imaging . (MRI) findings. Australas Radiol 2007 ; 51 Suppl 4: B 272-5.
8. Laj CS, Lin TM, Tsai CC, Lin SD, Su JH. Endometrioma in a cesarean section scar-a case report. Kaohsiung J Med Sci 2001;17(7):381-4.
9. Minaglia S,Mishell DR,Ballard CA,Incisional endometriomas after cesarean secttion : a case series. J Reprod Med 2007; 52(7):630-4.
10. Nisolle M, ALvarez ML, Colombo M, Foidart JM. Pathogenesis of endometriosis.Gynecol Obstet Fertil 2007 ; 35(9):898-903.
11. Roberge RJ,Kantor WJ, Scorza L. Rectus abdominis endometrioma. Am J Emerg Med 1999;17 (7): 675-7.
12. Stefanovic D, Kerkez M,Djordjevic Z,Knezevic S, Markovic LJ,Knezevic Dj,Palibrk I,Novakovic I, Ignjatovic I,Ivan D. Endometriosis in cesarrean section surgical scar. Acta Chir Iugosi 2007; 54(2):79-81.
13. Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre I, Greig JD..Presentation of endometriosis to general surgeons : a 10-year experience. Br J Surg 1995 ; 82 (10) : 1349-51.
14. Simsir A, Thorner K, Waisman J, Cangiarella J.Endometriozis in abdominal scars : a report of three cases diagnosed by fine-needle aspiration biopsy.Am Surg 2001; 67(10): 984-6.
15. Whitfield RJ, Worley PJ, Hughes CD. Gs26p Abdominal Wall Endometrioma Following Caesarean Section . ANZ J Surg 2007 ; 77:A31.
16. Wolf Y,Haddad R,Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: a diagnostic pitfall.Am Surg 1996; 62(12):1042-4.

Thank you for copying data from http://www.arastirmax.com