Sevim Süreyya ÇERÇİ, Celal ÇERÇİ, Tansel Ansal BALCI, Halil KOMEK, Nihal KILINÇ

Abdominal wall endometriosis imaged with scintigraphy: report of a case

Endometriyozis üreme çağı kadınlarında oldukça sık görülen bir jinekolojik patolojidir.Rektus abdominis kasının içine yerleşen endometriyozis nadir görülen ve özellikle sezaryen ameliyatı sonrası ortaya çıkan bir patolojidir. Nadir görülen hastalığın günümüz gelişmiş görüntüleme yöntemlerine rağmen tanısmdaki zorluklar devam etmektedir. Ultrasonografi (USG), Bilgisayarlı Tomografi (BT), Manyetik Rezonans Görüntüleme, İnce İğne Aspirasyon Biopsisi kullanılan tanı yöntemleridir. Yirmisekiz, yaşındaki kadın hastaya menstrual döneminde yapılan USG ve BT'de her iki rektus kılıfı arasında yerleşim gösteren 2 cm çaplı kesin tanısı belirlenemeyen kitle tespit edildi. Yapılan eritrosit işaretleme sintigrafisinde kitle lokalizasyonunda radyotracer akümülasyonu görüldü. Tc-99m eritrosit işaretleme sintigrafisinin abdominal endometriyozis tanısında faydalı olabileceği düşünüldü.

Anahtar Kelimeler:

Rektus abdominis, Karın duvarı, Endometriyoz, Radyonüklid görüntüleme

Karın duvarındaki endometriozis odağının sintigrafi ile görüntülenmesi

Endometriosis is a common gynecologic problem that is usually seen in the reproductive period. Abdominal endometriosis is a rare form of endometriosis especially seen after cesarean section, and diagnosis might be problematic. Ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI), and fine-needle aspiration biopsy (FNAB) can be used as diagnostic procedures. On USG and CT done during the menstruation phase of a 28-year-old woman, an unidentified 2 cm diameter mass between the two rectus sheats is reported here. We perlomed red-blood cell scintigraphy and detected radiotracer accumulation on the localisation of the mass. We suggest that Tc-99m RBC scintigraphy is a useful method for diagnosis of abdominal endometriosis.

Keywords:

Rectus Abdominis, Abdominal Wall, Endometriosis, Radionuclide Imaging,

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