Scar endometriosis in the rectus abdominis muscle
4th Department of General Surgery, Göztepe Training and Research Hospital, Istanbul, Turkey.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery: TJTES (Impact Factor: 0.38). 07/2010; 16(4):371-2.
Endometriosis is defined as the presence of ectopic functional endometrial tissue outside the uterine cavity. The most common locations are within the pelvis. Unusual sites ofendometriosis outside the pelvis have been reported, including the bladder, intestine, appendix, surgical scars, hernia sac, lung, kidney, and extremities. The diagnosis of scar endometriosis is usually not difficult and is based on history and physical examination. We report here two cases who developed endometriosis on the abdominal wall in the rectus abdominis muscle and were treated with local excisions.
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ABSTRACT: Endometriosis affects between 4 and 17% of women of reproductive age. The intestinal endometriosis affects 3 to 12% of women and is usually asymptomatic when it affects the subserosa or serosa; 0.7 to 2.5% of patients require surgical treatment for symptomatic lesions with diarrhea, constipation, pain and hematochezia. We report a case of a patient with appendiceal endometriosis in which the diagnosis was made during an emergency surgery and histopathology reported involvement of the muscle wall and serosa.
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