A case of Abdominal Wall Endometriosis at the Caesarean Section Scar

In: The Kitakanto Medical Journal · 2021 · vol. 71(3) , pp. 207–210 · doi:10.2974/kmj.71.207 · W3202646965
article OA: diamond CC0 ⤵ 1 in-corpus citation
AI-generated summary by claude@2026-06, 2026-06-08

This case report describes a 40-year-old woman who presented with a painful abdominal wall mass at her Cesarean section scar, which was diagnosed as abdominal wall endometriosis after surgical excision.

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Abstract

帝王切開手術瘢痕に生じた腹壁子宮内膜症の1例を経験した.患者は40代女性,半年前より月経時の周期的な痛みを伴う腹壁腫瘤を自覚し当院を受診した.2年前に帝王切開の既往があり,同手術瘢痕頭側に長径2 cmの皮下腫瘍を触知した.エコーでは腹直筋上に内部やや不均一な低エコー腫瘤を認め,MRIではT1強調画像で低信号,T2強調画像でやや高信号の結節を認めた.帝王切開手術瘢痕に生じた腹壁子宮内膜症を疑い摘出術を行った.病理組織学的検査では子宮内膜腺細胞および間質細胞を認め,腹壁子宮内膜症と診断した.世界的な帝王切開の増加に伴い腹壁子宮内膜症も増加してくると考えられる.帝王切開などの手術瘢痕に月経周期に合わせた疼痛や腫脹を伴う皮下腫瘍を認めた場合は,腹壁子宮内膜症を鑑別疾患に挙げる必要がある.

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Condition tags

endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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