关键词: abscess endometrioma endometriosis perianal

来  源:   DOI:10.1093/jscr/rjae270   PDF(Pubmed)

Abstract:
Perianal endometriosis is a rare clinical presentation of the extrauterine appearance of endometrium reported in <1% of the cases. The condition is accompanied by perianal cyclic pain and a palpable mass. If diagnosed by physical examination only, the condition may be easily misinterpreted as a perianal abscess and treated improperly with incision, thus resulting in \"abscess recurrence.\" Additional diagnostic imaging such as endoanal ultrasonography and magnetic resonance imaging should be mandatory to provide an accurate diagnosis and proper treatment resulting in low recurrence rates. We present two cases of perianal endometriomas initially diagnosed and treated as perianal abscesses.
摘要:
肛周子宫内膜异位症是在<1%的病例中报道的子宫内膜的子宫外外观的罕见临床表现。这种情况伴有肛周周期性疼痛和明显的肿块。如果仅通过体检诊断,这种情况很容易被误解为肛周脓肿,并且切口治疗不当,从而导致脓肿复发。“额外的诊断成像,如肛门内超声和磁共振成像应该是强制性的,以提供准确的诊断和适当的治疗,从而降低复发率。我们介绍了两例最初诊断和治疗为肛周脓肿的肛周子宫内膜瘤。
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