Karın Duvarı Endometriozisi: Vaka Serisi ve Literatür Derlemesi

2019 · vol. 16(1) , pp. 1–3 · W2915060275
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This study of nine patients with abdominal wall endometriosis found that wide surgical excision was a curative treatment with no relapse during a median 20-month follow-up period.

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This paper presents a case series and literature review focusing on abdominal wall endometriosis, a rare extrapelvic manifestation of the disease. The authors analyze clinical features, diagnostic challenges, and surgical outcomes based on existing studies and their own cases, highlighting that such lesions often occur at previous surgical scar sites like cesarean sections. A major caveat noted is the potential for misdiagnosis due to the rarity of spontaneous cases without prior surgery, which can lead to diagnostic pitfalls if clinicians do not maintain a high index of suspicion. This paper is centrally about endometriosis — specifically abdominal wall endometriosis and its clinical management.

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Abstract

Aim:To determine the clinico-pathological features of the abdominal wall endometriosis and review of the the literature. Material And Methods:We documented a case series of 9 patients who were diagnosed and underwent surgical management for abdominal wall endometriosis at our clinic between 2014 and 2017.Results: All but one of the patients had a history of cesarean section.Most of the patients (7/9, %77.7) had cyclical pain under the incision.Wide excision of the lesion was performed in all patients.After pathological examination, mean diameter of the endometriotic lesions was 4 cm.Median follow-up was 20 months (4-48 months, range) and none of the patients relapsed during this period. Conclusion:Based on history and sonographic examination, it is reliable to diagnose abdominal wall endometriosis.Wide excision is a curative treatment.
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Karın Duvarı Endometriozisi: Vaka Serisi ve Literatür Derlemesi Öz Anahtar Kelimeler Kaynakça - Khan Z, Zanfagnin V, El-Nashar SA, Famuyide AO, Daftary GS, Hopkins MR. Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall En- dometriosis. J Minim Invasive Gynecol. 2017;24:478-84. - Ideyi SC, Schein M, Niazi M, Gerst PH. Spontaneous endometriosis of the abdominal wall. Dig Surg. 2003;20(3):246-8. - Tomas E, Martin A, Garfia C, Sanchez Gomez F, Morillas JD, Castellano Tortajada G, ve ark. Abdominal wall endometriosis in absence of previous surgery. J Ultrasound Med. 1999 May;18(5):373-4. - Ozel L, Sagiroglu J, Unal A, Unal E, Gunes P, Baskent E, ve ark. Abdominal wall endometriosis in the cesarean section surgical scar: a potential diag- nostic pitfall. J Obstet Gynaecol Res. 2012;38(3):526-30. - Mistrangelo M, Gilbo N, Cassoni P, Micalef S, Faletti R, Miglietta C, ve ark. Surgical scar endometriosis. Surg Today. 2014;44(4):767-72. - Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endomet- riosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196(2):207-12. - Zhang J, Liu X. Clinicopathological features of endometriosis in abdo- minal wall--clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43(3):379-83. - Marquez J, Marquez JC, Arraztoa JA, Perez G, Espinoza A. [Extrapel- vic endometriosis involving the perineum]. Rev Chil Obstet Ginecol. 1995;60(1):1-4. Ayrıntılar Birincil Dil Türkçe Konular - Bölüm - Yazarlar Oğuzhan Kuru Bu kişi benim Yayımlanma Tarihi 1 Ocak 2019 Gönderilme Tarihi - Kabul Tarihi - Yayımlandığı Sayı Yıl 2019 Cilt: 16 Sayı: 1

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