Widespread intraperitoneal and diaphragmatic endometriosis presenting with frequent bowel motions and chronic shoulder tip pain
Widespread intraperitoneal and diaphragmatic endometriosis presenting with frequent bowel motions and chronic shoulder tip pain
复制标题
广泛的腹膜内和膈肌子宫内膜异位症，表现为频繁排便和慢性肩尖疼痛
DOI：
--
复制
发表时间：
2004
影响因子：
1.6
通讯作者：
Ali Ayhan
中科院分区：
文献类型：
--
作者：
I. Esinler;S. Guven;D. Akyol;E. Guven;Cagatay Taskiran;Ali Ayhan
Case report A 33-year-old G3 P2 (two normal deliveries, one 8-week miscarriage) was admitted with a complaint of a swelling at the lateral part of her umbilicus and recurrent pain in the mass for the past 1.5 years. These symptoms were associated with her menstrual cycle, which was regular every 28 – 30 days, lasting 4 – 5 days. There were no other symptoms, such as dysmenorrhea or dyspareunia. There had been no previous abdominal surgery. Physical examination revealed a semi-mobile tender mass almost 4 6 4 cm in size and localised to the lateral part of her umbilicus. The examination took place on the second day of her menstrual period. Pelvic and rectal examination were normal. Blood cell count and blood chemistry were also within the normal ranges. CA125 assay was normal. Ultrasonographic examination of the mass revealed a hypoechoic-appearing semisolid mass located to the left of the anterior rectus muscle. Surgical exploration of mass confirmed the mass lying on the left rectus muscle. There was no relation between the mass and abdominal cavity. Complete resection of mass was performed successfully without any damage to the rectus abdominalis muscle. Histological examination of the resected mass confirmed endometriosis. Two years after surgery the patient was in good health without recurrence.
