Caesarean scar endometriosis: a rare site of extrapelvic endometriosis

Authors

  • Sipra Bagchi Department of Obstetrics & Gynaecology, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
  • Ashish K. Gupta Department of Radiodiagnosis, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
  • Kimmi Alwadhi Department of Obstetrics & Gynaecology, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
  • Shanti Sah Department of Obstetrics & Gynaecology, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20150768

Keywords:

Caesarean scar, Endometriosis, Extrapelvic

Abstract

Scar endometriosis is a rare presentation of extrapelvic endometriosis. A caesarean section scar is the most common site. The typical clinical presentation is that of a palpable firm subcutaneous nodule near surgical scars associated with cyclic pain and swelling during menses. It is often misdiagnosed with other abdominal wall and scar related pathological conditions. Diagnosis is mainly based upon a high index of suspicion. USG with color Doppler can clinch the diagnosis in patients with typical clinical features. FNAC may be inconclusive. MRI is the most sensitive but expensive modality to make the diagnosis. Wide local excision is the treatment of choice. We report a case of caesarean scar endometriosis and discuss about incidence, pathophysiology, diagnosis and treatment of this condition.

References

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Iria Neri et.al. Diagnosis and Treatment of Post-caesarean Scar Endometriosis. Acta Dermato-Venereologica. Volume 87, Issue 5, Pages:428-429.

Giampiero Francica, MD, et.al. Abdominal Wall Endometriomas near Cesarean Delivery Scars, Sonographic and Color Doppler Findings in a Series of 12 Patients Journal of Ultrasound in Medicine. 2003;22(10):1041-7.

P Goel et.al. Cesarean scar endometriosis - Report of two cases. Indian journal of medical sciences. 2005;59(11):495-8.

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Pikoulis E. et al. Abdominal scar endometriosis after caesarean section: report of five cases. West Indian Med J. 2011;60(3).

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Published

2017-02-10