Rektus Abdominis Kasında Endometriozis, Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Sıklıkla pelviste yerle?en endometriosis daha az sıklıkta ekstrapelvik bölgelerde de görülebilir. Rektus abdominis kasında izole endometriozis oldukça nadir görülen bir durumdur. Rektus abdominis kasında endometriosis tespit edilen 36 ya?ında kadın hastanın olgu sunumunu yapmaktayız. Hasta, karnının sol tarafında, genç ya?lardan beri var olan ağrılı kitle ?ikayeti ile genel cerrahi polikliniğine kabul edildi. Fizik muayenede sol alt kadranda, yakla?ık 4x4 cm boyutlarında, ağrılı semi-solid kitle tespit edildi. Doppler ultrasonografide rektus abdominis kası arkası ve kısmen içinde endometriozis saptandı. Tedavide total eksizyon ve PTF (Polytetrafluoroethylene) yama ile greftleme yapıldı. Kitlenin patolojisi endometriozis olarak belirlendi.Olgu sunumumuzda rektus abdominis kasında nadiren geli?mi? olan endometriozisi tartı?tık.

Rectus Abdominis Muscle Endometriosis, Case Report and Rewiew of the Literature

We present a case of endometriosis in rectus abdominis muscle diagnosed in a 36 year old woman. The patient was admitted to the general surgery outpatient clinic with a painfull left abdominal mass since teen age. Physical exami- nation showed 4x4 cm, painfull, semi-solid mass at the left lower abdominal quadrant. Doppler Ultrasonography findings showed possible endometriosis behind and partially in rectus abdominis muscle. Total excision with poly- tetrafluoroethylene patch grafting was performed to the mass.The pathology revealed endometriosis. We discussed a rare case of endometriosis in rectus abdominis muscle in our case report.

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