Karın Duvarı Endometriozisi: Olgu Sunumu

Abstract

Karın duvarı endometriozisi, genellikle uterusun manipüle edildiği veya çoğunlukla sezaryen gibi bütünlüğünün bozulduğu bir operasyona sekonder karın ön duvarında endometrial doku gelişimidir. Bu yazıda bir karın duvarı endometriozisi vakasının sunumunu, klinik araştırmasını ve cerrahi tedavisini sunmayı planlanladık. 29 yaşında kadın hasta, geçirilmiş bir sezaryen skarının bulunduğu yerde belirginleşen menstrüel siklus döneminde belirgin hale gelen karın ağrısı ile polikliniğe başvurdu. Hastanın incelenmesi sırasında karın duvarında endometrial dokudan oluştuğundan şüphelenilen kitle görüldü. Belirtilen doku ameliyatta eksize edildi ve histolojik analizden sonra önceki sezaryene bağlı endometrial doku patolojik olarak doğrulandı. Sonuç olarak, nadir görülmekle birlikte, obstetrik cerrahi öyküsü olan reprodüktif dönemdeki kadınlarda Pfannenstiel insizyonu veya benzer bir insizyonun skar bölgesinde ağrılı bir kitle bulunursa, ayırıcı tanıda endometriozis düşünülmelidir.

Keywords

• karın duvarı
• endometriozis
• olgu sunumu

Abdominal Wall Endometriosis: A Case Report

Abstract

Abdominal wall endometriosis is the development of endometrial tissue on the anterior abdominal wall, usually secondary to an operation in which the uterus is manipulated or its integrity is disrupted, usually by cesarean section. In this article, we planned to present the presentation, clinical investigation and surgical treatment of a case of abdominal wall endometriosis. A 29-year-old female patient applied to the outpatient clinic with abdominal pain that became apparent during the menstrual cycle at the location of a previous cesarean scar. During the examination of the patient, a mass suspected to be composed of endometrial tissue was observed on the abdominal wall. The indicated tissue was excised during surgery and after histological analysis, endometrial tissue due to a previous cesarean section was pathologically confirmed. In conclusion, although rare, endometriosis should be considered in the differential diagnosis if a painful mass is found in the scar area of a Pfannenstiel incision or a similar incision in women in the reproductive period with a history of obstetric surgery.

Keywords

• abdominal wall
• endometriosis
• case report

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