Endometriosis as a surgical problem: diagnostic and treatment, outstanding issues
DOI:
https://doi.org/10.11603/2414-4533.2020.4.11787Keywords:
extragenital endometriosis, postoperative scar, treatmentAbstract
The aim of the work: to describe atypical clinical cases and disseminate them among the medical community, which will contribute to the accumulation of multicenter clinical experience and will form the basis for the development of effective management algorithms for atypical manifestations of extragenital endometriosis.
Materials and Methods. A comprehensive study of 12 women aged 24–42 years was conducted. In addition to conventional clinical laboratory tests, X-ray, sonographic examination and computed tomography of the abdominal organs were performed.
Results and Discussion.These examples of clinical cases show that endometriosis can not be considered only a gynecological disease. Both in the diagnostic and in the treatment process, it goes far beyond the gynecological specialty, and its treatment requires non-traditional tactics. Most often, extragenital forms of endometriosis are localized in the intestine and postoperative scar. The appearance of clinical manifestations of discomortation and tumor-like formation in the area of the postoperative wound are the leading clinical signs of scar endometriosis. The main clinical manifestation of intestinal endometriosis is the development of intestinal obstruction. Drug therapy in patients with endometriosis may not be the method of choice.
The spread of foci of the disease requires individual choice and the optimal combination of surgical and medical components of treatment, expands the tactical arsenal of the doctor, increases the effectiveness of treatment, which improves the prognosis.
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