Abdominal wall endometriosis in the caesarean section surgical scar- a case report

Authors

  • Heera Shenoy Trivikrama Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Shivakumar . Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Ambichi Kuniyil Sajitha Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Sabarmathi Chandni Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Remesh Geethanjali Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Deepak Lavatt Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Naduvithiyil Thundikandi Nidhi Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Mary Nandini Singh Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India
  • Padincharayil Shamla Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222501

Keywords:

Scar endometriosis, Pfannenstiel incision, LSCS, Abdominal wall endometriosis, Excision, Endometrioma, Mesh repair

Abstract

Scar endometriosis is the presence of endometrial tissues with glands in the previous incision or scar. Its overall estimated incidence after post-caesarean and post-hysterectomy is 0.03-0.4% and 1.08-2%, respectively. The patient presents with non-specific symptoms such as cyclical abdominal pain at the site of a previous surgical incision and an abdominal lump with a cyclical increment in size, which is tender. The diagnosis is made only after the surgical excision with confirmation by histopathological analysis. We present the case of a 30-year-old P2 L2 complaining of cyclical abdominal pain and a lump on the right side of a Pfannenstiel incision. She had undergone two lower segment caesarean sections (LSCS); the last surgery was five years ago. She conceived and at 38.2 weeks an elective caesarean with concurrent sterilisation and excision of scar endometriosis with mesh repair was done. After the surgical excision, the sample was sent for histopathological examination, and scar endometriosis was confirmed.

 

Author Biography

Heera Shenoy Trivikrama, Department of OBG, Department of Surgery, Department of Pathology, KMCT Medical College, Kozhikode, Kerala, India

Associate Professor  in OBG  ,KMCT Medical college,Kozhikode,Kerala.

References

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Published

2022-09-27

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Section

Case Reports