Auteurs

TREATMENT OF ENDOMETRIOSIS RECURRENCE. CLINICAL CASE.
Abstract ID : 1359
Soumis par : Le 2016-02-17 05:52:01
Nom de la catégorie : SEUD CONGRESS
Typologie : Poster
Statut : validé
Autorisation de diffusion : Yes/Oui
------------------------------------Background: The current rate of endometriosis among women of reproductive age is 6 to 10%. Fifty-five percent of
women with ovarian endometriosis concurrently have endometrioma. Surgery does not always lead to recovery, thus
further rehabilitation therapy is required.
Objective: To evaluate the effectiveness of endometriosis treatment with dienogest.
Materials and Methods: Patient K., 36 years, suffers from endometriosis within last 5 years. Surgical treatment was
performed twice:
1) in 2009, laparoscopy, left adnexectomy, excision of endometriotic lesions. Rehabilitation therapy after surgery was not
performed.
2) in 2010, laparotomy, hysterectomy with right ovariectomy because of adenomyosis, uterine fibroids, right ovarian
mass.
Histological findings: 1) endometrioid ovarian cyst (2009);
2) adenomyosis, nodular form, uterine myoma with cystic degeneration, mixed hyperplastic endometrium, corpus luteum
cyst. After 1 year, the patient complaints on frequent urge to urinate.
Pelvic ultrasound (31.10.11): condition after hysterectomy, in the projection of the lower third of the right ureter liquidfilled structure 26,5 x 21,5 x 19,2 mm, volume - 5.7 cm3. Renal ultrasound (31.10.11): right pyelectasis, microlithiasis of
both kidneys, chronic cystitis, urethritis, hypotonic bladder. Excretory urography (31.10.11): no pathology of the urinary
system. Pelvic MRI (4.11.11) revealed liquid-filled structure behind the bladder with hyperintense signal and size of 1,8 x
2,0 mm. Pelvic sonography (06.01.12) showed increased size of the pelvic mass up to 32x34x28,6 mm; volume 16.8
cm3. Considering growth of the mass surgical treatment was recommended, but the patient refused. Dienogest was
prescribed in dose of 2 mg per day for 6 months.
Results: after 12 and 24 weeks of therapy no pelvic mass is visualized at sonography.
Conclusion: This case demonstrates high therapeutic efficacy of dienogest, its use prevented repeated surgery. To avoid
recurrence of endometrial disease it is advisable to conduct rehabilitation therapy with dienogest immediately after
surgical treatment for 24 weeks.
------------------------------------Mots clefs : Endometrioma, Dienogest
Auteurs :
Références : , , ,
Auteurs
Gulzhachan Omarova 1, D.A Dauletbaev 2, S.K Sarmuldaeva 3, S.M Saduakasova 1, S.U Alieva 1,
1. Gynecological, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, KAZAKHSTAN
2. Gynecological, City Clinical Hospital ?1 of Almaty, Almaty, KAZAKHSTAN
3. Gynecological, Kazakh Medical University of Continuing Education, Almaty, KAZAKHSTAN
Auteurs (raw format)
Omarova Gulzhachan - email : [email protected] Etablissement : Kazakh National Medical University
named after S.D. Asfendiyarov Service : Gynecological Ville : Almaty Pays : KAZAKHSTAN Présentateur : Oui
Dauletbaev D.A - email : Etablissement : City Clinical Hospital ?1 of Almaty Service : Gynecological Ville : Almaty Pays :
KAZAKHSTAN Présentateur : Non
Sarmuldaeva S.K - email : Etablissement : Kazakh Medical University of Continuing Education Service : Gynecological
Ville : Almaty Pays : KAZAKHSTAN Présentateur : Non
Saduakasova S.M - email : Etablissement : Kazakh National Medical University named after S.D. Asfendiyarov Service :
Gynecological Ville : Almaty Pays : KAZAKHSTAN Présentateur : Non
Alieva S.U - email : Etablissement : Kazakh National Medical University named after S.D. Asfendiyarov Service :
Gynecological Ville : Almaty Pays : KAZAKHSTAN Présentateur : Non