Karın Duvarı Endometriozisi: Vaka Serisi ve Literatür Derlemesi

Amaç: Karın duvarı endometriozisinin klinik ve patolojik özelliklerini belirlemek ve literatürü gözden geçirmek.Gereç ve Yöntemler: 2014 ve 2017 yılları arasında kliniğimizde tanı konulup cerrahi müdahale yapılan 9 hastalık vaka serisini gözden geçirdik.Bulgular: Hastalardan biri hariç hepsinde sezaryan doğum öyküsü vardı. Hastaların çoğunda 7/9, %77.7 insizyon altında siklik ağrı şikayeti mevcuttu. Tüm hastalarda lezyonun geniş eksizyonu yapıldı. Endometriotik lezyonların patoloji ile ortalama çapı 4 cm bulundu. 20 ay medyan takip süresince 4-48 ay hiçbir hastada nüks gorülmedi.Sonuç: Öykü ve sonografik incelemeye dayanarak, karın duvarı endometriozisini teşhis etmek güvenilirdir. Geniş eksizyon, iyileştirici bir tedavidir.

Anahtar Kelimeler:

Endometriozis, skar, karın duvarı

Abdominal Wall Endometriosis: Case Series and Review of the Literature

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.

Keywords:

Endometriosis, scar, abdominal wall,

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