Scar endometriosis: an uncommon surgical aftermath

Authors

  • Sumedha Pathade Department Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
  • Shruti Panchbudhe Department Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
  • Prasad Deshmukh Department Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
  • Arun Nayak Department Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220584

Keywords:

Scar endometriosis, LSCS, Rectus sheath

Abstract

Endometriosis is a benign condition wherein endometrial tissue lies outside the uterine cavity. Abdominal scar endometriosis is a rare entity following pelvic surgeries caused as a result of deposition of endometrial tissue at scar site. Patient usually presents with triad of presence of mass over scar site, cyclical pain during menses and bleeding. Histopathological examination remains gold standard for diagnosis in which the presence of endometrial glands, stroma and hemosiderin laden macrophages can be seen. We presented a case of 35 years old lady with history of caesarean section done 3 years back who came with complaints of swelling over the scar site and cyclical pain with tenderness present over lump. Ultrasonography revealed presence of firm mass which was removed by wide local excision and histopathology confirmed the diagnosis of scar endometriosis.

Metrics

Metrics Loading ...

References

Wolf GC, Singh KB. Cesarean scar endometriosis: a review. Obstet Gynecol Surv. 1989;44(2):89-95.

Padmanabhan LD, Mhaskar R, Mhaskar A. Scar endometriosis. J Obstet Gynaecol India. 2003;53:59-61.

Chatterjee SK. Scar endometriosis: a clinicopathological study of 17 cases. Obstet Gynecol. 1980;56:81-4.

Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg. 1996;62(12):1042-4.

Ding DC, Hsu S. Scar endometriosis at the site of cesarean section. Taiwan J Obstet Gynecol. 2006;45(3):247-9.

Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: a report of 3 cases. Can J Surg. 2009;52(5):444-5.

Gupta P, Gupta S. Scar Endometriosis: a Case Report with Literature Review. Acta Med Iran. 2015;53(12):793-5.

Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriomas near cesarean delivery scars: sonographic and color Doppler findings in a series of 12 patients. J Ultrasound Med. 2003;22:1041-7.

Gupta RK, Naran S. Aspiration cytodiagnosis of endometriosis in an abdominal scar after caesarean section. Acta Cytol. 1995;39:603-4.

Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196:207-12.

Bozkurt M, Çil AS, Bozkurt DK. Intramuscular abdominal wall endometriosis treated by ultrasound-guided ethanol injection. Clin Med Res. 2014;12(3):160-5.

Downloads

Published

2022-02-25

How to Cite

Pathade, S., Panchbudhe, S., Deshmukh, P., & Nayak, A. (2022). Scar endometriosis: an uncommon surgical aftermath. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 11(3), 947–950. https://doi.org/10.18203/2320-1770.ijrcog20220584

Issue

Section

Case Reports