Use of anal endosonography in diagnosis of endometriosis of the external anal sphincter - Report of a case
Use of anal endosonography in diagnosis of endometriosis of the external anal sphincter - Report of a case
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DOI：
10.1007/bf02234150
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发表时间：
1999-05-01
影响因子：
3.9
通讯作者：
Mischinger, HJ
中科院分区：
文献类型：
--
作者：
Bacher, H;Schweiger, W;Mischinger, HJ
目的：肛周子宫内膜异位症是一种罕见的形式外生殖器子宫内膜异位症，通常位于外阴切开疤痕。方法：我们报告一个罕见的病例涉及肛门外括约肌在一个24岁的女性。术前及术中肛门超声检查确定子宫内膜异位症病变的精确解剖位置。结论：我们认为，当病史、指诊和直肠镜检查对鉴别诊断肛周疼痛或肿块没有决定性意义时，这种检查是必要的。虽然激素抑制通常是盆腔外子宫内膜异位症的治疗选择，但我们认为手术切除，尊重肛门括约肌的解剖纤维结构，是治疗肛周子宫内膜异位症的最佳方法。手术切除是必要的组织学诊断，这是必要的，尽管罕见的恶性发展在子宫内膜异位症。
PURPOSE: Perianal endometriosis is an infrequent form of extragenital endometriosis and is usually situated in episiotomy scars. METHODS: We report a rare case involving the external anal sphincter in a 24 year-old female. The precise anatomical location of the endometriotic lesion was confirmed using preoperative and intraoperative anal endosonography. CONCLUSION: We believe this procedure to be essential when history, digital examination, and proctoscopy are not conclusive in the differential diagnosis of perianal pain or mass. Although hormonal suppression of ten is the therapy of choice in extrapelvic endometriosis, we think surgical excision, respecting the anatomical fiber architecture of the anal sphincter, is the best treatment for perianal endometriosis. Surgical excision is required for histological diagnosis, which is imperative in view of the albeit rare development of malignancy in extragenital endometriosis.