Endometriosis sobre cicatriz de episiotomía y cesárea previa: 2 casos clínicos

M. Gómez, M. Gómez-González, E. Recio, J. Elizalde, C Emparan
In: Progresos de Obstetricia y Ginecología · 2004 · vol. 47(2) , pp. 99–102 · doi:10.1016/s0304-5013(04)75971-3 · W2077428268
article OA: closed CC0 ⤵ 1 in-corpus citation
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This paper reports two clinical cases of endometriosis in episiotomy and cesarean scars, characterized by cyclic pain and treated with surgical excision, leading to complete symptom remission.

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Abstract

Resumen La endometriosis localizada en tejido cicatrizal tras cirugia pelvica del aparato genital, se presenta como una lesion nodular acompanada de dolor ciclico catamenial en el area cicatrizal, y no se asocia de forma habitual a endometriosis genital. Presentamos 2 casos de endometriosis localizada en tejido cicatrizal tras intervenciones obstetricas (episiotomia y cesarea, respectivamente) diagnosticados en nuestro hospital. El diagnostico, basado en la sospecha clinica, fue histologico tras biopsia-exeresis de la lesion que resulto terapeutica, y las mujeres presentaron remision completa de la sintomatologia. En ambos casos, se asocio tratamiento hormonal postoperatorio, aunque su eficacia esta discutida.

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endometriosis

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