EXTRAGENITAL ENDOMETRIOSIS: CLINICAL AND ANAMNESTIC FEATURES
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Abstract
Objective – to determine the clinical and anamnestic features of women with extragenital endometriosis.
Materials and methods. 150 medical histories of women with endometriosis were retrospectively studied, 30 of them were women with extragenital endometriosis, treated in the KKB of the M.A. Podgorbunsky SMP for 2017-2020. The average age of the patients was 36.9 ± 14.31 years.
Results. According to the localization of extragenital endometriosis, a lesion of the anterior abdominal wall was found: postoperative scar – 23 cases (76.6 %), soft tissue – 7 cases (23.3 %). From the life history of these patients, it was found that all of them were delivered by cesarean section, in an emergency – 20 women (66.6 %), in a planned – 10 (33.4 %). Concomitant gynecological pathology in the form of abnormal uterine bleeding was in 5 women (16.6 %), PCOS – in 5 (16.6 %), primary infertility – in 4 (13.3 %), uterine fibroids – in 2 (6.6 %). All patients were examined on an outpatient basis and sent for planned surgical treatment. According to the results of ultrasound of the pelvic organs, hypoechoic formations up to 2 cm in size were found in the structure of the anterior abdominal wall in the area of the postoperative scar in 21 cases (70 %), from 2 to 3.5 cm – in 9 (30 %). When performing surgical treatment of a postoperative scar with laparotomic access along the old scar, a dense scar was found in women
Conclusion. Extragenital endometriosis is a fairly rare pathology. Endometriosis of the postoperative scar and soft tissues is undoubtedly directly related to surgical interventions, primarily operative childbirth.
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