tailieunhanh - báo cáo khoa học: " Retrorectal endometrioid cyst: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Retrorectal endometrioid cyst: a case report | Katsoulis and Katsoulis Journal of Medical Case Reports 2010 4 389 http content 4 1 389 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Retrorectal endometrioid cyst a case report Iraklis E Katsoulis loannis E Katsoulis Abstract Introduction Developmental cysts are the most common retrorectal cystic lesions in adults whereas reports of endometrioid cysts in this anatomic location are extremely rare. Case presentation A 21-year-old nulliparous Greek woman presented with chronic noncyclic pelvic pain and a retrorectal cyst was diagnosed. The lesion was resected through a laparotomy and on histologic examination was found to be an endometrioid cyst. The treatment was completed with a six-month course of a gonadotropinreleasing hormone analogue. One year after surgery the woman remained free of symptoms and pelvic imaging showed no recurrence of the lesion. Reviewing the literature we found only three previous reports of an endometrioid cyst in this anatomic location. Conclusion In women of reproductive age endometriosis must be included in the differential diagnosis of retrorectal cysts. Introduction Endometriosis is the presence of endometriotic tissue in anatomic regions outside the uterus 1 . The most-common sites are the ovaries and the fallopian tubes the uterosacral ligaments and the lateral pelvic peritoneum. Endometriosis can less commonly be found in laparotomy scars the vagina and the rectovaginal septum and also can involve the wall of the colon and the rectum. This is a report of a rare retrorectal endometrioid cyst that was not contiguous to the rectal wall. Developmental cysts are the most common retrorectal cystic lesions in adults whereas reports of endometrioid cysts in this anatomic location are extremely rare 2-4 . Case presentation A 21-year-old nulliparous Greek woman complained of chronic noncyclic pelvic pain. Abdominal and vaginal examinations were unremarkable whereas on rectal examination a soft .

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