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Karın duvarındaki endometriozis odağının sintigrafi ile görüntülenmesi

Year 2005, Volume: 12 Issue: 1, 57 - 60, 03.04.2009

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2005 Mart; 12(1)



Karın duvarındaki endometriozis odağının sintigrafi ile görüntülenmesi



Sevim Süreyya Cerçi, Celal Cerçi, Tansel Ansal Balcı, Halil Kömek, Nihal Kılınç



Özet

Endometriyozis üreme çağı kadınlarında oldukça sık görülen bir jinekolojik patolojidir.Rektus abdominis kasının içine yerleşen endometriyozis nadir görülen ve özellikle sezaryen ameliyatı sonrası ortaya çıkan bir patolojidir. Nadir görülen hastalığın günümüz gelişmiş görüntüleme yöntemlerine rağmen tanısındaki zorluklar devam etmektedir. Ultrasonografi (USG), Bilgisayarlı Tomografi (BT), Manyetik Rezonans Görüntüleme, İnce İğne Aspirasyon Biopsisi kullanılan tanı yöntemleridir. Yirmisekiz yaşındaki kadın hastaya menstrual döneminde yapılan USG ve BT'de her iki rektus kılıfı arasında yerleşim gösteren 2 cm çaplı kesin tanısı belirlenemeyen kitle tespit edildi. Yapılan eritrosit işaretleme sintigrafisinde kitle lokalizasyonunda radyotracer akümülasyonu görüldü. Tc-99m eritrosit işaretleme sintigrafisinin abdominal endometriyozis tanısında faydalı olabileceği düşünüldü.



Anahtar kelimeler: Endometriyozis, Karın duvarı, Radyonükleid görüntüleme,Tc-99m eritrosit işaretleme.



Abstract

Abdominal wall endometriosis imaged with

scintigraphy: report of a case

Endometriosis is a common gynecologic problem that is usually seen in the reproductive period. Abdominal endometriosis is a rare form of endometriosis especially seen after cesarean section, and diagnosis might be problematic. Ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI), and fine-needle aspiration biopsy (FNAB) can be used as diagnostic procedures. On USG and CT done during the menstruation phase of a 28-year-old woman, an unidentified 2 cm diameter mass between the two rectus sheats is reported here. We perfomed red-blood cell scintigraphy and detected radiotracer accumulation on the localisation of the mass. We suggest that Tc-99m RBC scintigraphy is a useful method for diagnosis of abdominal endometriosis.



Key words: Endometriosis, Abdominal wall, Radionuclide imaging, Tc-99m RBC.

References

  • Steck WD, Helwig EB. Cutaneous endometriosis. Clin Obstet Gynecol 1966; 9:373-83.
  • Mavic JJ. Curent concepts in endometriosis: an international review-etiology. J Reprod Med 1977; 19:301-2.
  • Coley B, Casola G. Ýncisionel endometrioma involving the rectus abdominis muscle and subcutaneous tissues:CT appearence. Am J Roentgenol 1993; 160:549-50.
  • Healy JT, Wilkinson NW, Sawyer M. Abdominal wall
  • endometrioma in a laparoscopic trocar tract: A case report.
  • Am Surg 1995; 61:962-3.
  • Patterson GK, Winburn GB. Abdominal wall endometriomas:Report of eight cases. Am Surg 1999; 65:36-9.
  • Chatterjee SK. Scar endometriosis: A clinicopathologic study of 17 cases. Obstet Gynecol 1980; 56:81-4.
  • Singh KK, Lessells AM, Adam DJ, et al. Presentation of endometriosis to general surgeons: A 10 year experience. Br J Surg 1995; 82:1349-51.
  • Popoff L, Raitcheu R, Andreev V.Endometriosis of the skin. Arch Dermatol 1962;85:185-7
  • Vincent LM, Mittelstradet CA. Sonographic demonstration of endometrioma arising in a cesarean section scar. J Ultrasound Med 1985; 4:437-8.
  • Amato M, Levitt R. Abdominal wall endometrioma: CT findings. J Comput Assisted Tomogr 1984; 8:1213- 4.
  • Chin YY, Perez-Reyes M, Brown JJ. MR appearance of umbilical endometriosis. J Comput Assisted Tomogr 1994; 18:269-71.
  • Wolf GC, Kopecky KK. MR imaging of endometriosis arising in cesarean section scar. J Comput Assisted Tomogr 1989; 13:150-2.
  • Griffin JB, Betsill WL. Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 1985; 29:584-8.
  • Seydel AS, Sickel JZ, Wraner ED, Sax HC. Extrapelvic endometriosis: Diagnosis and treatment. Am J Surg 1996; 171:239-41.
  • Firilas A, Soi A, Max M. Abdominal incision endometriomas. Am Surg 1994; 60:259-61.
  • Bergqvist A. Different types of extragenital endometriosis: A review. Gynecol Endocrinol 1993; 7:207-21.
  • Greenhill JP. Scar endometriosis. Am J Obstet Gynecol 1992; 44:177178.
  • Higginbottom J. Termination of pregnancy by abdominal hysterotomy. Lancet 1973; 1:937-8.
  • Wittich AC. Endometriosis in an episiotomy scar: Review of the literature and report of a case. J Am Osteopath Assoc 1982; 82:22-3.
  • Yackovich FH, Bender GN, Tsuchida AM. Case report:Perianal episiotomy scar endometrioma imaged by CT and sector endoluminal ultrasound. Clin Radiol 1994; 49:578-9.
  • Kaunitz A, Di Sant’Agnese PA. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol 1979; 54:753-5.
  • Wolf Y, Hadda R, Werbin N, et al. Endometriosis in abdominal scars: A diagnostic pitfall. Am Surg 1996; 62:1042-4.
  • Nirula R, Greaney GC. Incisional endometriosis: An underappreciated diagnosis in general surgery. J Am Coll Surg 2000; 190:404-7.
  • ani PR, Soundararaghavan S, Rajaram P. Endometriosis in abdominal scars: Review of 27 cases. Int J Gynecol
  • S.D.Ü. Týp Fak. Derg. 2005:12(1)/ 57-60 59
Year 2005, Volume: 12 Issue: 1, 57 - 60, 03.04.2009

Abstract

References

  • Steck WD, Helwig EB. Cutaneous endometriosis. Clin Obstet Gynecol 1966; 9:373-83.
  • Mavic JJ. Curent concepts in endometriosis: an international review-etiology. J Reprod Med 1977; 19:301-2.
  • Coley B, Casola G. Ýncisionel endometrioma involving the rectus abdominis muscle and subcutaneous tissues:CT appearence. Am J Roentgenol 1993; 160:549-50.
  • Healy JT, Wilkinson NW, Sawyer M. Abdominal wall
  • endometrioma in a laparoscopic trocar tract: A case report.
  • Am Surg 1995; 61:962-3.
  • Patterson GK, Winburn GB. Abdominal wall endometriomas:Report of eight cases. Am Surg 1999; 65:36-9.
  • Chatterjee SK. Scar endometriosis: A clinicopathologic study of 17 cases. Obstet Gynecol 1980; 56:81-4.
  • Singh KK, Lessells AM, Adam DJ, et al. Presentation of endometriosis to general surgeons: A 10 year experience. Br J Surg 1995; 82:1349-51.
  • Popoff L, Raitcheu R, Andreev V.Endometriosis of the skin. Arch Dermatol 1962;85:185-7
  • Vincent LM, Mittelstradet CA. Sonographic demonstration of endometrioma arising in a cesarean section scar. J Ultrasound Med 1985; 4:437-8.
  • Amato M, Levitt R. Abdominal wall endometrioma: CT findings. J Comput Assisted Tomogr 1984; 8:1213- 4.
  • Chin YY, Perez-Reyes M, Brown JJ. MR appearance of umbilical endometriosis. J Comput Assisted Tomogr 1994; 18:269-71.
  • Wolf GC, Kopecky KK. MR imaging of endometriosis arising in cesarean section scar. J Comput Assisted Tomogr 1989; 13:150-2.
  • Griffin JB, Betsill WL. Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 1985; 29:584-8.
  • Seydel AS, Sickel JZ, Wraner ED, Sax HC. Extrapelvic endometriosis: Diagnosis and treatment. Am J Surg 1996; 171:239-41.
  • Firilas A, Soi A, Max M. Abdominal incision endometriomas. Am Surg 1994; 60:259-61.
  • Bergqvist A. Different types of extragenital endometriosis: A review. Gynecol Endocrinol 1993; 7:207-21.
  • Greenhill JP. Scar endometriosis. Am J Obstet Gynecol 1992; 44:177178.
  • Higginbottom J. Termination of pregnancy by abdominal hysterotomy. Lancet 1973; 1:937-8.
  • Wittich AC. Endometriosis in an episiotomy scar: Review of the literature and report of a case. J Am Osteopath Assoc 1982; 82:22-3.
  • Yackovich FH, Bender GN, Tsuchida AM. Case report:Perianal episiotomy scar endometrioma imaged by CT and sector endoluminal ultrasound. Clin Radiol 1994; 49:578-9.
  • Kaunitz A, Di Sant’Agnese PA. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol 1979; 54:753-5.
  • Wolf Y, Hadda R, Werbin N, et al. Endometriosis in abdominal scars: A diagnostic pitfall. Am Surg 1996; 62:1042-4.
  • Nirula R, Greaney GC. Incisional endometriosis: An underappreciated diagnosis in general surgery. J Am Coll Surg 2000; 190:404-7.
  • ani PR, Soundararaghavan S, Rajaram P. Endometriosis in abdominal scars: Review of 27 cases. Int J Gynecol
  • S.D.Ü. Týp Fak. Derg. 2005:12(1)/ 57-60 59
There are 27 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Sevim Çerçi This is me

Celal Çerçi This is me

Tansel Balcı This is me

Halil Kömek This is me

Nihat Kılınç This is me

Publication Date April 3, 2009
Submission Date April 3, 2009
Published in Issue Year 2005 Volume: 12 Issue: 1

Cite

Vancouver Çerçi S, Çerçi C, Balcı T, Kömek H, Kılınç N. Karın duvarındaki endometriozis odağının sintigrafi ile görüntülenmesi. Med J SDU. 2009;12(1):57-60.

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