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首页> 外文期刊>Journal of endometriosis and pelvic pain disorders. >Scar endometriosis: A case report and literature review
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Scar endometriosis: A case report and literature review

机译：疤痕子宫内膜异位:病例报告和文献审查

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Introduction: Surgical scar endometrioma is defined as the presence of an endometrial tissue near or inside an abdominal surgical incision. This is a rare clinical event that can occur in women after gynecological or obstetric surgery, with a global prevalence estimated at 0.0l%-l%. The most prevalent clinical feature includes a painful mass with a cyclic pain that exacerbates with menstruation. The aim of this work is to facilitate the identification and support the diagnosis of abdominal wall endometrioma associated with the cesarean section scar, with basis on a case study of a tumor in the cesarean surgical scar of a patient who also complains of dyspareunia and menorrhagia.Case report: A 43-year-old female patient, G4PC4A0, with a single, rounded and painful subcutaneous nodule in the right inguinal region, on the cesarean section scar, which had progressively grown for two years. Patient also reported increased nodule size during menstrual period, associated with pain and menorrhagia. In February 2016, a surgical procedure was performed and by the post-surgical evaluation, the patient had already presented a menstrual cycle and reported decrease in symptoms. Biopsy report brought findings compatible with endometriosis. Conclusion: According to the literature, the clinical picture of the patient confirms the suspected endometrioma. The set of signals and symptoms associated with well-specified additional tests allowed an early and efficient diagnosis. The knowledge of the disease and the adoption of these criteria may mean a reduced burden on health services, but mainly, improve the quality of life of patients.
机译：作品简介:手术疤痕子宫腺肌瘤定义为一个子宫内膜组织的存在或者在一个腹部手术切口附近。这是一种罕见的临床事件可能发生女性妇科和产科手术后,全球发病率估计为0.0 l % - l %。最常见的临床特征包括一个痛苦的质量与循环疼痛加剧月经。便于识别和支持腹壁子宫腺肌瘤的诊断与剖腹产疤痕基于案例研究肿瘤的剖腹产手术疤痕的患者也抱怨性交困难和月经过多。43岁的女病人,G4PC4A0,单身,圆润而痛苦的皮下结节在右腹股沟区,剖腹产部分疤痕,逐步成长两年。大小在月经期,伴随着疼痛和月经过多。手术进行的术后评估,病人已经提出了一个月经周期,减少在症状。与子宫内膜异位症兼容。根据文献,临床图片病人的证实了怀疑子宫腺肌瘤。与良好的额外测试允许一个早期和有效的诊断。疾病和采用的知识这些标准可能意味着减少负担卫生服务,但主要是,提高质量病人的生活。

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