出版社：International Medical Journal Management and Indexing System
摘要：Abdominal wall endometrioma is a rare condition, which usually develops in a surgical scar of cesarean section or hysterectomy. The incidence of scar endometrioma ranges from 0,03 to 3,5%. Making the correct diagnosis before the treatment is not always possible. The surgery is difficult. The aim of this study is to discuss the features of 10 scar endometrioma cases in the light of the literature. Design and setting: In Ãstanbul GATA Haydarpaþa Training Hospital, Ãstanbul Zeynep Kamil Maternity Hospital and Erzurum Marasal Cakmak Millitary Hospital Gynecology and Delivery Clinics the records of 10 cases were iden- tified and retrospectively surveyed. Methods: Ten cases with the diagnosis of scar endometrioma were operated and definitive diag- nosis was confirmed by the pathological examina- tion. The records were retrospectively surveyed. The patient ages, obstetric antecedents, delivery with prior cesarean section, symptoms, the size and localization of tumoral mass and the duration of complaints were surveyed and recorded. Results: Ten patients were included in the study. The mean ages of these patients were 30,5 years ( range: 24- 48 years). All patients had cesarean sections except only one. One patient had three vaginal deliveries and a hysterectomy operation which was per- formed a year ago. All of the scar endometria cases were observed on the transverse incision line of the lower segment. The mean tumor size was 19,5 cm3(range: 8-36 cm3). The main symptom was localized cyclical pain (100%), of mean duration 11,5 months (Range: 2-27 months). Asymptomatic period ( the time interval between the obstetric procedure and the onset of symptoms) was mean 36 months in all patients.( Range: 10-72 months). Surgical treatment was successful in all cases. Conclusions: Abdominal wall endometriosis may be sometimes difficult to diagnose. The entire tumor with the healty tissue must be removed without causing the rupture in surgery. The patients must be definitively followed up postoperatively for recurrence.
