Scar endometriosis: the menace of surgery (original) (raw)
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Scar endometriosis: a mystery entity
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Scar Endometriosis is described as having an active endometrial tissue at the scar area outside the uterine cavity. Corner stone for diagnosis is proper history, clinical examination and suspicion-based imaging. Caesarean scar endometriosis (CSE) usually seen following procedures like caesarean sections, hysterectomies. Time of presentation can be very variable so yet times difficult to suspect. Once suspected Convincing patient that they have active glands other than in uterine cavity is not easy. Hence proper imaging and biopsy is needed to backup for thorough counselling and treatment to improve the quality of life.
Scar Endometriosis: Experience of a Surgeon
Medicine Today, 2019
Introduction: Cesarean section is a common obstetric surgery worldwide. As incision wound in such a surgery is exposed abundantly to endometrial tissue, incision scar endometriosis can occur. This study reports a surgeon’s experience in managing such an uncommon entity. The aim of this study was to identify risk factors for developing SCE and show the clinical spectrum of presentation. This study also shows our experience in surgical management of surgical scar endometriosis. Extra pelvic endometriosis is defined as the presence and growth of functional endometrial tissue outside the pelvis. Cesarean scar endometriosis (CSE) is a rare form of extra pelvic endometriosis that is usually confused with other surgical problems leading to delay in diagnosis. Materials and Methods: We reviewed the case records of patients who were diagnosed as CSE in the surgery department of BIRDEM GENERAL HOSPITAL-2 from September 2013 till September 2018. Results: We found 8 patients of scar endometrios...
Archives of Gynecology and Obstetrics, 2009
Introduction Caesarean section incidence is rising and caesarean scar endometriosis could be encountered more in the day to day clinical practice. Materials and methods We present three cases of caesarean scar endometriosis which were managed in our unit with excision biopsy. Conclusions Complete excision is both diagnostic and therapeutic. FNAC could be a tool to exclude malignancy and allows a quick diagnosis.
Caesarean scar endometriosis: A case report
Indian Journal of Obstetrics and Gynecology Research
Caesarean scar endometriosis has been reported as a rare entity. However, with the obvious rise in caesareans and the cumulative rise in repeat caesareans it is expected that this previously lesser reported entity is likely to be on the rise too. In view of its associated morbidity affecting the quality of life it is helpful to bear this diagnosis in mind as a differential when dealing with new onset dysmenorrhoea after a caesarean and constant complaints related to the stitch line with no obvious findings outside periods. Here we present a case of scar site endometriosis after a caesarean section.
Endometriosis in a caesarean section scar
Archives of Gynecology and Obstetrics, 1996
Scar or incisional endometriosis is a rare condition and often difficult to diagnose. The symptoms are non specific and often confused with other pathologies. Rarely endometriosis occurs in an abdominal wall scar after a caesarean delivery. A case of 37 year old woman is presented who developed endometriosis at the caesarean section scar done four years back. A clinical diagnose of endometriosis was made. The mass was removed completely and histopathology of the surgical specimen revealed endometriosis.
Scar endometriosis after caesarean section: a case series and review of literature
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Endometriosis is defined as extra-uterine localization of ectopic functional endometrial gland and stroma. Cystic or solid tumoral masses caused by endometriosis are named as endometrioma. Although these pathologic conditions mostly encountered in ligaments of uterus, ovaries, pouch of douglos and pelvic peritoneum; endometriosis has also been reported in nose, breast, lung, spleen, gastrointestinal tract, kidney, abdominal wall, but scar endometriomais extremely rare. Scar endometriosis is rare and difficult to diagnose. This condition can be confused with other surgical conditions, however imaging techniques and FNAC are indicated towards better diagnostic approach. Medical treatment is helpful in selected cases but wide excision is the treatment of choice. By presenting this paper, and conducting a review of the literature, we intend to increase the awareness of this rather, rare condition.
Scar endometriosis following caesarean section: a rare case report
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2015
Endometriosis is presence of functioning endometrial tissue (glands and stroma) outside the uterine cavity. Endometriosis can sometimes occur in previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynaecological surgeries. We present here a case report of a patient who developed scar endometriosis following a caesarean section which was dealt adequately in the subsequent caesarean section.
Scar endometriosis: not a rare cause for a painful scar
La Clinica terapeutica, 2021
Conclusion High suspicion of scar endometriosis are painful no-dule in the abdominal scar. Wide surgical excision is the treatment of choice. Introduction Endometriosis has been described as the presence of endometrial tissue outside uterine cavity. Scar endometriosis (SE) is a rare disease reported in 0.03-1.08% of women following gynaecologic surgery. In our retrospective observational cohort study we studied anamnesis, symptoms, surgical procedures and outcomes linked to scar endometriosis in our medical experience from 2004 to 2018. Methods We reviewed the medical records of 46 patients with a histopathological diagnosis of SE. All patients had a history of at least one previous caesarean section (n=46, 100%). Forty-two patients (91,3%) complained gradually growing nodular abdominal mass near or adjacent to caesarean incision scar, while only 4 patients (8,6%) complained aspecific abdominal pain. Ultrasound scan was performed in all patients (n=46, 100%) and mean size of the nod...
Cases of scar endometriosis after caesarean section
Bhutan Health Journal, 2021
Introduction: The presence of functional endometrial tissue in the surgical scar, which commonly follows caesarean section is called scar endometriosis. It is a very rare condition which is commonly misdiagnosed. Case report: We report two cases of scar endometriosis which developed after caesarean section. One case was misdiagnosed as a keloid for a long duration (12 years) and other one was not diagnosed despite the characteristic presenting symptoms. Both the cases underwent surgical excision with free resection margins and histopathological confirmation of diagnosis. Conclusions: Clinicians must be aware of varying presentations of scar endometriosis to ensure timely diagnosis and treatment.
Surgical Scar Endometriosis: An Emerging Enigma
Cureus
Conclusion Cesarean section is an obvious risk factor for surgical scar endometriosis. Clinicians should have a high index of suspicion for surgical scar endometriosis in women presenting with cyclic pain at the scar site. Ultrasound is accurate in diagnosing scar endometriosis. Surgical management by wide local excision with a clear margin with or without mesh repair is the treatment of choice.