TY  - JOUR
TT  - ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION
AU  - Kürek Eken, Meryem
AU  - İlhan, Gülşah
AU  - Yüksel, Hasan
AU  - Bıçakçı, Burcu
PY  - 2017
DA  - March
DO  - 10.18017/iuitfd.308496
JF  - Journal of Istanbul Faculty of Medicine
JO  - İst Tıp Fak Derg
PB  - İstanbul Üniversitesi
WT  - DergiPark
SN  - 1305-6441
SP  - 175
EP  - 177
VL  - 79
IS  - 4
KW  - Batın duvarı endometriosis
KW  - infertilite
KW  - atipik lokasyon
N2  - Objective:Abdominalwall endometriosis is seen rarely. Mass lesion, cyclic menstrual pain andprevious obstetric or gynecological surgery history facilitates thepreoperative diagnosis. Atypical presentation that is distant from the scarline may be encountered in rare cases. We defined secondary infertile patientthat was operated in our clinic, having bilateral abdominal wall endometriosisthat was located 10 cm far away atypically distant from cesarean scar line. Casepresentation: 34 year old, gravida 3, parity 1 ( cesarean section ) patient who hadundergone caesarean section 5 years ago admitted to gynecology outpatientclinic with the complaints of secondary infertility and palpable abdominal wallmass. Physical examination revealed pfannensteil incision and bilateral 3 cmpainful mass that was located 10 cm distant from the scar line.Ultrasonographic examination revealed oval,3x4 cm, hyperechogen mass compatible with endometriosis that was locatedlateral to the rectus muscles bilaterally. Lesions were removed with 1 cm cleanmargins by incisions to skin and subcutaneous tissue under general anesthesia.Pelvic endometriosis or endometrioma was not detected in the diagnostic laparoscopy. ​​ Bilateral methylene blue tubal passage was not monitored in the chromopertubation test. Pathological evoluation resulted as endometriosis.Conclusion:Previouscesarean section in the patient's history was typical. Localization distantfrom the scar line was atypical. Despite history of secondary infertility forabout 2 years and lack of a asignificant focus of endometriosis in the abdomen of the patient, atypicallocalization of endometriosis should be kept in mind.Keywords: Abdominal wall endometriosis; infertility; atypical location.
UR  - https://doi.org/10.18017/iuitfd.308496
L1  - https://dergipark.org.tr/tr/download/article-file/296850
ER  -