结直肠肛门外科2024,Vol.30Issue(3) :374-378.DOI:10.19668/j.cnki.issn1674-0491.2024.03.026

1例肛周子宫内膜异位症病例报告

Perianal endometriosis:a case report

倪红 孙松朋 龙俊红 霍兴霄 梁隆雨 褚洪川 周洋阳
结直肠肛门外科2024,Vol.30Issue(3) :374-378.DOI:10.19668/j.cnki.issn1674-0491.2024.03.026

1例肛周子宫内膜异位症病例报告

Perianal endometriosis:a case report

倪红 1孙松朋 1龙俊红 1霍兴霄 1梁隆雨 1褚洪川 1周洋阳1
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作者信息

  • 1. 北京中医药大学东直门医院肛肠科 北京 100700
  • 折叠

摘要

子宫内膜异位症的病灶常见于盆腔内,盆腔外的子宫内膜异位症相对少见.肛周子宫内膜异位症罕见而且容易被误诊,手术切除是优选的治疗方式.笔者团队收治了 1例青年肛周子宫内膜异位症患者,其曾经阴道分娩1女并出现会阴撕裂,来诊时的临床表现为肛周肿物伴周期性疼痛.该患者未接受妇科专科诊治,其后再次妊娠并历经剖宫产1子后肛周病灶缓慢消退至肉眼不可见状态.本文报告该患者的诊疗过程和随访结果,与同道交流.

Abstract

Endometriosis lesions are commonly found within the pelvic cavity,while extrapelvic endometriosis is rela-tively rare.Perianal endometriosis is a particularly uncommon condition that is prone to misdiagnosis,and surgical exci-sion is the preferred treatment approach.Our team encountered a young patient with perianal endometriosis who suf-fered a perineal laceration in vaginal delivery for one female baby.At presentation,the patient manifested with a peri-anal mass accompanied by cyclic pain.The patient did not receive specialized diagnosis and treatment from the depart-ment of gynecology,and the perianal lesion slowly regressed to a point where it was no longer visible to the naked eye after another pregnancy and cesarean delivery for one male baby.This article reports the patient's diagnosis and treat-ment along with follow-up results,aiming to share our experience with colleagues.

关键词

子宫内膜异位症/肛周肿物/疾病管理

Key words

endometriosis/perianal mass/disease management

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出版年

2024
结直肠肛门外科
广西医科大学

结直肠肛门外科

CSTPCD
影响因子:0.957
ISSN:1674-0491
参考文献量11
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