SEZARYEN SKARINDA ENDOMETRİOZİS OLGUSU VE LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

Abstract

Endometriozis endometrial dokunun uterin kavitenin dışında bulunması hali olarak tanımlanmıştır. Sezaryen, histerektomi, apendektomi, laparoskopi sonrası trokar yerinde, amniyosentez, epizyotomi sonrasında skar dokusunda endometriosis saptanabildiği bilinmektedir. Sezaryen sonrası skar yerinde endometriosis gelişme sıklığı %0,03-%0,4 arasında değişmektedir. Olgumuzda sezaryen operasyonundan 7 yıl sonra sezaryen skar yerinde kitle geliştiği saptandı. Geniş lokal eksizyonla çıkarılan kitlenin patolojisi endometriozis olarak belirlendi. Sonuç olarak; sezaryen skarı ile ilişkili bir kitlede siklik ağrıların mevcudiyeti sezaryen skar endometriozisi açısından patognomonik olup kitlenin geniş ekzisyonla çıkarımı uygun tedavi modalitesidir

Keywords

• İnsizyonel endometriozis, sezaryen

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