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Fascial endometriosisFrom: dahmd@gate.netMon Dec 11 20:38:49 1995
Here is an interesting endometriosis case we saw recently: A 28 year-old para 3-0-0-3 white lady with documented endometriosis (laparoscopy 2 years ago with endo of left ovary and cul-de-sac, but normal anterior abdominal wall) presented with chronic pain below her pfannenstiel incision. My partner felt an irregular mass there, sent her for ultrasound (too dense) and CT scan (no help), then decided to take a look. He called me down to help, and we found a huge, solid mass growing right through the fascia, from the pubic symphysis to just below the umbilicus, with a total dimension of about 15 by 10 cm. It was very nodular and extremely hard, and looked just like carcinoma. We removed the tumor (frozen section revealed endometriosis) by removing most of her fascia below the arcuate line, and put in a prolene mesh. Along the way we had to peel the fascia and endometriosis off of her bladder. Thus far she is doing well, and told us she would much rather be free of the endometriosis than do situps. D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net
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