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Intramuscular Abdominal Wall Endometriosis Treated by Ultrasound-Guided Ethanol      
Yazarlar
Murat Bozkurt
İstanbul Rumeli Üniversitesi, Türkiye
Dr. Öğr. Üyesi Ahmet Said ÇİL Dr. Öğr. Üyesi Ahmet Said ÇİL
Kırşehir Ahi Evran Üniversitesi, Türkiye
Hanım Duygu Kara Bozkurt
Türkiye
Özet
Abdominal wall endometriosis (AWE) is a rare condition that usually develops in a surgical scar resulting from a Caesarean section. While commonly seen in the cutaneous and subcutaneous fat tissue at the Caesarean scar level, its intramuscular localization is quite rare. Its treatment options consist of the excision of the lesion and/or hormonal therapies, although wide surgical excision is the treatment of choice in the literature. Wide surgical excision may create a defect in the abdominal wall and may increase the risk of hernia formation and mesh complications. This case report describes the clinical and radiological findings and treatment modalities of endometriosis that have appeared in the rectus abdominis muscle of a 25-year-old patient at the Caesarean scar level. Sclerotherapy may be used for endometrioma. We present a new and alternative treatment method using ultrasound-guided intralesional ethanol injection for AWE. Compared with the complications of surgical excision, the complications of sclerotherapy by ethanol are at a more acceptable level. Sclerotherapy by ethanol injection may be an alternative treatment to surgery for AWE.
Anahtar Kelimeler
Abdominal wall | Endometriosis | Fine needle aspiration cytology | Intramuscular endometriosis | Magnetic resonance imaging | Sclerotherapies
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı CLINICAL MEDICINE & RESEARCH
Dergi ISSN 1539-4182
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili Türkçe
Basım Tarihi 12-2014
Cilt No 12
Sayı 3
Sayfalar 160 / 165
Doi Numarası 10.3121/cmr.2013.1183