Large-Muscle Endometriosis Involving the Adductor Tight Compartment: Case Report
Large-Muscle Endometriosis Involving the Adductor Tight Compartment: Case Report
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DOI：
10.1016/j.jmig.2009.12.004
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发表时间：
2010-03-01
影响因子：
4.1
通讯作者：
Scarselli, Gianfranco
中科院分区：
文献类型：
--
作者：
Fambrini, Massimiliano;Andersson, Karin Louise;Scarselli, Gianfranco
盆腔外子宫内膜异位症是一种罕见的疾病，但可以涉及几乎所有器官，导致广泛的临床表现。在这里，我们描述了一个45岁的女性，不适合激素治疗，左大腿周期性疼痛伴有进行性行走能力障碍。临床、仪器和实验室数据支持子宫内膜异位症的诊断，包括与卵巢子宫内膜异位症相关的内收肌室。在经验丰富的骨科肿瘤学家的协助下进行了腹腔镜双侧输卵管卵巢切除术和局部广泛切除术，明确的组织学分析证实了子宫内膜异位症的诊断。在6个月的随访中，患者无疼痛，活动能力和生活质量有了实质性的改善。大肌肉子宫内膜异位症是一种罕见的疾病，它会损害肌肉骨骼的完整性，降低生活质量。在这种情况下，外科手术切除与骨科肿瘤学家合作是治疗的基石。微创妇科杂志，2010,17,258-261 (C) 2010 AAGL。版权所有。
Extrapelvic endometriosis is an uncommon condition but can involve nearly every organ, resulting in a wide range of clinical manifestations. Herein, we describe the case of a 45-year-old woman not a candidate for hormonal therapy who had cyclic pain in the left thigh associated with progressive impairment of walking ability. Clinical, instrumental, and laboratory data supported the diagnosis of endometriosis involving the adductor muscles compartment associated with ovarian endometriomas. Laparoscopic bilateral salpingo-oophorectomy and local wide excision in collaboration with an experienced orthopedic oncologist were performed, and definitive histologic analysis confirmed the diagnosis of endometriosis. The patient was pain-free at 6-month follow-up and demonstrated substantial improvement in ambulation and quality of life. Large-muscle endometriosis is a rare entity that can compromise musculoskeletal integrity and decrease quality of life. In this case, surgical excision in collaboration with an orthopedic oncologist was the cornerstone of treatment. Journal of Minimally Invasive Gynecology (2010) 17, 258-261 (C) 2010 AAGL. All rights reserved.