제왕절개술후 복벽반흔에 발생한 자궁내막증 2예
Abdominal Wall Endometriosis after Cesarean Section: A Report of Two Cases
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
골반 외에 발생하는 자궁내막증은 비교적 드문 경우로, 주로 제왕절개술이나 자궁적출술 후에 발생하는 것으로 알려져 있다. 제왕절개술후 수술반흔부위에 발생한 자궁내막증의 빈도는 알려진 것보다 더 흔할 것으로 여겨지며, 생리주기에 따른 수술반흔 부위의 심한 동통과 점점 커지는 종괴가 전형적인 증상이다. 수술반흔 자궁내막증은 자궁내막 조직이 전이되어 이소성 자궁내막이 발생하며 정확한 진단 및 치료를 하기 위해서는 외과적 절제술이 필요하다. 저자들은 제왕절개술 후 복벽 반흔에 발생한 자궁내막증 2예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다.
Abstract
Extrapelvic endometriosis remains quite rare phenomenon. The majority of extrapelvic endometriosis involve scar tissue following obstetric/gynecologic procedures. Endometriosis involving a cesarean section scar may be more common than previously recongnized. The classic symptom is a painful scar that became swollen and more tender during menstruation. The cause of surgical scar endometriosis is believed to be iatrogenic transplantation of endometrial tissue to the surgical wound. The surgical excision remains the treatment of choice for expected cures and presents the most appropriate diagnostic and therapeutic intervention. We present two cases of endometriosis appearing on the abdominal wall scar of cesarean section with a brief review of the concerned literatures.
참고문헌 (16)
- "Extrapelvic endometriosis presenting as a hernia clinical reports and review of literature", pp.109~12
- "Endometriosis of the bladder in a male patient", pp.858~63
- "Peritoneal endometriosis due to menstrual dissemination of endometrial tissue into peritoneal cavity", pp.422~5
- "lymphatic organ of so-called heterotopic adenofibromatosis", pp.475~8
- "Histologic study of endometriosis and examination of lymphatic drainage in and from uterus", pp.201~5
- "Heritable aspects of endometriosis", pp.327~9
- "Autoimmune phenomena in infertile patients with Endometriosis", pp.271~2
- "Suggestive evidence that pelvic endometriosis is a progressive disease Whereas deeply infiltrating endometriosis is associated with pelvic pain", pp.759~65, Koninckx PR
- "Contemporary concepts in clinical management 1989; 127-44", Pauerstein CJ
- "a clinical pathologic study of 17 cases", pp.81~4
- "Endometriosis in non-gynecological sites", pp.1189~95
- "Two of endometrioma in cesarean scars", pp.118~20
- "Sonographic features of abdominal wall endometriosis", 169, pp.916~8 (1997)
- "Endometriosis simulating a soft tissue tumor of the thigh", pp.573~6
- "a critical review of epidermiologic data", diag(stic pitfalls), pp.374~7
- "Perineal endometriosis at the site of episiotomy scar", pp.28~31