Öz
The patient who had normal labour with mediolateral episiotomy two years ago, had presented with complaint of pain and swelling at the episiotomy scar site. On physical examination, on the scar line with 1 x 1-cmentimeter diameter and 1,5 cm deep nodular, semi-mobile and semisolid mass was observed. The mass was surgically excised. Pathological examination confirmed the diagnosis of endometriosis. Scar endometriosis is a rare condition after vaginal delivery, however ßin t he patients with the mass and pain in perineal region, this condition in the differential diagnosis differential diognosis.
Anahtar Kelimeler
Kaynakça
- Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997;24:235–58.
- Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24(2):411-40.
- Bostancı M.S, Yucel A, Akatlı A, Sağsöz N. Scar endometriosis after ceserean section: Case Report. J Gynecol-Obstet Neonatal 2006;(3):445- 47.
- Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 1980;56(1):81-4.
- Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynaecol Res, 2005;31(5):471-5.
- Khoo JJ. Scar endometriosis presenting as an acute abdomen: A case report. Aust NZ J Obstet Gynaecol 2003;43:164–5.
- Leite GK, Carvalho LF, Korkes H, Guazzelli TF, Kenj G, Viana Ade T.Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature.Sao Paulo Med J 2009 Sep;127(5):270-7.
- Barisic GI, Krivokapic ZV, Jovanovic DR.Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature.Int Urogynecol J Pelvic Floor Dysfunct 2006 Nov;17(6):646-9. Epub 2006 Jul 13.
- Balleyguier C, Chapron C, Chopin N, Helenon O, Menu Y. Abdominal wall and surgical scar endometriosis results of magnetic resonance imaging. Gynecol Obstet Invest 2003;55:220-4.
Öz
İki sene önce mediolateral epizyotomi ile normal doğum yapan hasta epizyotomi skarında adet dönemlerinde tekrarlayan ağrı ve şişlik şikayeti ile başvurdu. Yapılan fizik muayenede skar hattı üzerinde 1 x 1 cmlik yarı mobil ve insizyon hattından yaklaşık 1,5 cm derine kadar ilerleyen nodüler semi solid kitle izlendi. Kitle cerrahi olarak eksize edildi. Patolojik inceleme endometriozis tanısını doğruladı. Vajinal doğum sonrasında skar endometriozisi nadir görülen bir durum olmakla beraber bu durum perineal bölgede kitle ve ağrı şikayeti olan hastaların ayırıcı tanısında mutlaka düşünülmelidir.
Anahtar Kelimeler
Kaynakça
- Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997;24:235–58.
- Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24(2):411-40.
- Bostancı M.S, Yucel A, Akatlı A, Sağsöz N. Scar endometriosis after ceserean section: Case Report. J Gynecol-Obstet Neonatal 2006;(3):445- 47.
- Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 1980;56(1):81-4.
- Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynaecol Res, 2005;31(5):471-5.
- Khoo JJ. Scar endometriosis presenting as an acute abdomen: A case report. Aust NZ J Obstet Gynaecol 2003;43:164–5.
- Leite GK, Carvalho LF, Korkes H, Guazzelli TF, Kenj G, Viana Ade T.Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature.Sao Paulo Med J 2009 Sep;127(5):270-7.
- Barisic GI, Krivokapic ZV, Jovanovic DR.Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature.Int Urogynecol J Pelvic Floor Dysfunct 2006 Nov;17(6):646-9. Epub 2006 Jul 13.
- Balleyguier C, Chapron C, Chopin N, Helenon O, Menu Y. Abdominal wall and surgical scar endometriosis results of magnetic resonance imaging. Gynecol Obstet Invest 2003;55:220-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ocak 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 10 Sayı: 37 |