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Case Report


DOI :https://doi.org/10.18017/iuitfd.308496   IUP :https://doi.org/10.18017/iuitfd.308496    Full Text (PDF)

ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION

Meryem Kürek Eken, Gülşah İlhan, Hasan Yüksel, Burcu Bıçakçı

Objective: Abdominal wall endometriosis is seen rarely. Mass lesion, cyclic menstrual pain and previous obstetric or gynecological surgery history facilitates the preoperative diagnosis. Atypical presentation that is distant from the scar line may be encountered in rare cases. We defined secondary infertile patient that was operated in our clinic, having bilateral abdominal wall endometriosis that was located 10 cm far away atypically distant from cesarean scar line. Case presentation: 34 year old, gravida 3, parity 1 ( cesarean section ) patient who had undergone caesarean section 5 years ago admitted to gynecology outpatient clinic with the complaints of secondary infertility and palpable abdominal wall mass. Physical examination revealed pfannensteil incision and bilateral 3 cm painful mass that was located 10 cm distant from the scar line. Ultrasonographic examination revealed oval, 3x4 cm, hyperechogen mass compatible with endometriosis that was located lateral to the rectus muscles bilaterally. Lesions were removed with 1 cm clean margins by incisions to skin and subcutaneous tissue under general anesthesia. Pelvic endometriosis or endometrioma was not detected in the diagnostic laparoscopy. Bilateral methylene blue tubal passage was not monitored in the chromopertubation test. Pathological evoluation resulted as endometriosis. Conclusion:Previous cesarean section in the patient's history was typical. Localization distant from the scar line was atypical. Despite history of secondary infertility for about 2 years and lack of a a significant focus of endometriosis in the abdomen of the patient, atypical localization of endometriosis should be kept in mind

Keywords: Abdominal wall endometriosis, infertility, atypical location
DOI :https://doi.org/10.18017/iuitfd.308496   IUP :https://doi.org/10.18017/iuitfd.308496    Full Text (PDF)

BATIN DUVARINDA ENDOMETRİOSİS: SEZARYEN SKAR HATTINDAN UZAK ATİPİK LOKASYON

Meryem Kürek Eken, Gülşah İlhan, Hasan Yüksel, Burcu Bıçakçı

Amaç: Karın ön duvarı endometriozisi nadiren görülür. Kitle lezyon, siklik menstrual ağrı ve geçirilmiş obstetrik ya da jinekolojik cerrahi operasyon varlığı preoperatif tanıya yakınlaştırır. Nadir vakalarda skar hattından uzakta atipik prezantasyon olabilir. Burada kliniğimizde opere edilen sekonder infertil, sezeryan skar hattından 10 cm uzaklıkta atipik lokasyonda bilateral batın duvarı endometriosisi tanımladık.

Olgu:34 yaş, gravida 3 para 1(sezeryan), sekonder infertilitesi olan hastanın anamnezinde 5 yıl önce geçirilmiş bir sezaryen ameliyatı mevcut. Sekonder infertilite ve batın duvarında ele gelen kitle şikayeti ile jinekoloji polikliniğine başvurdu. Fizik muayenede; pfannensteil insizyon skarı ve bu skarın yaklaşık 10 cm yukarısında bilateral ele gelen yaklaşık 3 cm boyutunda, dokunmakla ağrılı kitle izlendi. Yüzeyel doku ultrasonografisinde bilateral rektus kası lateralinde endometriozis ile uyumlu oval 3x4 cm çapında, hipoekojen lezyon saptandı. Lezyonlar genel anestezi altında cilt-cilt altı dokuya yapılan insizyonlar, etrafında 1 cm lik sağlam doku ile çıkartıldı. Diagnostik laparoskopisinde pelviste endometriozis veya endometrioma saptanmadı. Yapılan kromopertubasyon testinde bilateral tuba uterinalardan metilen mavisi geçişi izlenmedi. Patolojik değerlendirme sonucu endometriozis olarak geldi.

Sonuç: Hastanın anamnezinde geçirilmiş sezeryan öyküsü tipiktir. Skar hattından uzak lokalizasyon atipiktir. Hastanın yaklaşık 2 yıldır sekonder infertilite öyküsü olması ve batın içerisinde belirgin bir endometriosis odağı izlenmemesine rağmen atipik lokalizasyonlu endometriosis vakaları oluşabileceği akılda tutulmalıdır.

Keywords: Batın duvarı endometriosis, infertilite, atipik lokasyon

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APA

Kürek Eken, M., İlhan, G., Yüksel, H., & Bıçakçı, B. (2016). ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION. Journal of Istanbul Faculty of Medicine, 79(4), 175-177. https://doi.org/https://doi.org/10.18017/iuitfd.308496


AMA

Kürek Eken M, İlhan G, Yüksel H, Bıçakçı B. ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION. Journal of Istanbul Faculty of Medicine. 2016;79(4):175-177. https://doi.org/https://doi.org/10.18017/iuitfd.308496


ABNT

Kürek Eken, M.; İlhan, G.; Yüksel, H.; Bıçakçı, B. ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 79, n. 4, p. 175-177, 2016.


Chicago: Author-Date Style

Kürek Eken, Meryem, and Gülşah İlhan and Hasan Yüksel and Burcu Bıçakçı. 2016. “ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION.” Journal of Istanbul Faculty of Medicine 79, no. 4: 175-177. https://doi.org/https://doi.org/10.18017/iuitfd.308496


Chicago: Humanities Style

Kürek Eken, Meryem, and Gülşah İlhan and Hasan Yüksel and Burcu Bıçakçı. “ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION.” Journal of Istanbul Faculty of Medicine 79, no. 4 (May. 2025): 175-177. https://doi.org/https://doi.org/10.18017/iuitfd.308496


Harvard: Australian Style

Kürek Eken, M & İlhan, G & Yüksel, H & Bıçakçı, B 2016, 'ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION', Journal of Istanbul Faculty of Medicine, vol. 79, no. 4, pp. 175-177, viewed 22 May. 2025, https://doi.org/https://doi.org/10.18017/iuitfd.308496


Harvard: Author-Date Style

Kürek Eken, M. and İlhan, G. and Yüksel, H. and Bıçakçı, B. (2016) ‘ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION’, Journal of Istanbul Faculty of Medicine, 79(4), pp. 175-177. https://doi.org/https://doi.org/10.18017/iuitfd.308496 (22 May. 2025).


MLA

Kürek Eken, Meryem, and Gülşah İlhan and Hasan Yüksel and Burcu Bıçakçı. “ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION.” Journal of Istanbul Faculty of Medicine, vol. 79, no. 4, 2016, pp. 175-177. [Database Container], https://doi.org/https://doi.org/10.18017/iuitfd.308496


Vancouver

Kürek Eken M, İlhan G, Yüksel H, Bıçakçı B. ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION. Journal of Istanbul Faculty of Medicine [Internet]. 22 May. 2025 [cited 22 May. 2025];79(4):175-177. Available from: https://doi.org/https://doi.org/10.18017/iuitfd.308496 doi: https://doi.org/10.18017/iuitfd.308496


ISNAD

Kürek Eken, Meryem - İlhan, Gülşah - Yüksel, Hasan - Bıçakçı, Burcu. “ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION”. Journal of Istanbul Faculty of Medicine 79/4 (May. 2025): 175-177. https://doi.org/https://doi.org/10.18017/iuitfd.308496



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