LẠC NỘI MẠC TỬ CUNG VÀO CƠ THÀNH BỤNG SAU MỔ LẤY THAI VÀ U TIỂU KHUNG ĐƯỢC PHÁT HIỆN TẠI TRUNG TÂM CHẨN ĐOÁN HÌNH ẢNH AMTIC

Le Hung1, Tran Tuan Luu1,, Vu Long2
1 Thanh Nhan Hospital
2 AMTIC Collegiate Center

Main Article Content

Abstract

SUMMARY
Aim: Study the common caracteristic imaging after caesarian operation of 7 cases affected with endometriosis.
Material: 6 patients at 26-41 y.o. have had caesarian operation,1 ovarian cyst remove coming for pain at the abdominal scar relating to mensus.
Methode and result: USG found a hypoechoic mass in the abdominal wall, on CT scanner the mass is hypodense comparing to the soft tissue. On MRI the mass is hypersignal on the sequenses T1W, T2W and Fatsat which taking contrast agent. The anatopathology had confirmed the diagnosis.
Conclusion: Patient in fecondation time with history of cesarian operation suffered pain at the scar must be thinking about secondary endometriosis. UGS, CT scanner and MRI can easy investigated. The surgical ablation is the most effective methode.

Article Details

References

1. Blanco, R. G., Parithivel, V. S., Shah, A. K., 1. Gumbs, M. A., Schein, M. & Gerst, P. H. (2003). “Abdominal wall endometriomas”. Am J Surg, 185(6), 596-598.
2. Gunes, M., Kayikcioglu, F., Ozturkoglu, E. & 2. Haberal, A. (2005). “Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures”. JObstet Gynaecol Res, 31(5), 471-475.
3. Goel P, Sood SS, Dalal A, Romilla (2005). 3. “Cesarean scar endometriosis: Report of two case”.
4. Horton, J. D., Dezee, K. J., Ahnfeldt, E. P. & 4. Wagner, M. (2008). “Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases”. Am J Surg, 196(2), 207-212.
5. Jonathan S. Berek MD, M. (2007). Berek & 5. Novak’s Gynecology, 14th Edition. In T. M. D’Hooghe (Ed.), Endometriosis Copyright©2007 Lippincott Williams & Wilkins.
6. Khammash, M. R., Omari, A. K., Gasaimeh, 6. G. R. & Bani-Hani, K. E. (2003). “Abdominal wall endometriosis”. “An overlooked diagnosis”. Saudi Med J, 24(5), 523-525.
7. Kinkel K, Frei KA, Balleyguier C, Chapron C 7. (2006). “Diagnosis of endometriosis with imaging”.
8. Olive DL, Schwartz LB (1993). “Endometriosis”. 8. N Engl J Med 328: 1759-1769.