DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20180922

Caesarean scar endometriosis: a case report

Fatimazahra Cherrabi, Mounir Moukit, Jaouad Kouach, Driss Moussaoui Rahali, Mohammed Dehayni

Abstract


Endometriosis is a common disorder in women of reproductive age but is rarely observed in abdominal scar after caesarean section. The authors report a case of 35-year-old woman referred for a painful lump at caesarean scar. Preoperative diagnosis of caesarean scar endometriosis was made on the basis of clinical examination and radiological imaging and confirmed histologically after large surgical excision of the mass. Increasing awareness of this rare entity among clinicians can help in early diagnosis and appropriate treatment.


Keywords


Caesarean section, Scar endometriosis, Surgical excision

Full Text:

PDF

References


Zhang J, Liu X. Clinicopathological features of endometriosis in abdominal wall - clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43:379-83.

Douglas C, Rotimi O. Extragenital endometriosis: a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol. 2004;24:804-8.

Ideyi SC, Schein M, Niazi M, Gerst PH. Spontaneous endometriosis of the abdominal wall. Digestive Surg. 2003;20:246-8.

Çöl C, Yılmaz EE. Cesarean scar endometrioma: Case series. World J Clin Cases. 2014;2:133-6.

Hensen JH, Vriesman VBAC, Puylaert JB. Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR. 2006;186:616-20.

Vellido-Cotelo R, Muñoz-González JL, Oliver-Pérez MR, Hera-Lázaro CD, Almansa-González C, Pérez-Sagaseta C, et al. Endometriosis node in gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Women’s Health 2015;15:13.

Gabriel A, Shores JT, Poblete M, Victorio A, Gupta S. Abdominal wall endometrioma: case report and review. Ann Plastic Surg. 2007;58:691-3.

Shalin SC, Haws AL, Carter DG, Zarrin-Khameh N. Clear cell adenocarcinoma arising from endometriosis in abdominal wall cesarean section scar: a case report and review of the literature. J Cutaneous Pathol. 2012;39:1035-41.