Scar Endom Etriosis; A Rare Condition Found In Previous Cesarean Section Scar

Muhammad Bilal Chishti, Shahnila khizar, Muhammad Usman Rauf

Abstract


A 30 year lady with history of previous three cesarean sections presented with pain in the area of previous healed scar from two years. On clinical examination there was a painful nodule under scar tissue. It was firm in consistency, irregular margins which becomes prominent during menstruation days. On ultrasonography a hypoechoic area was found. MRI was non-conclusive and on the basis of clinical examination and history diagnosis of scar endometriosis was made. Whole abnormal tissue was excised by local incision and biopsy sent for histopathology. On biopsy report endometrial glands were detected. This is a biopsy confirmed case of endometriosis on previous scar. Pathogenesis, presentation, diagnosis and modes of treatment have been mentioned below.


Keywords


Endometriosis, scar endometriosis, incisional endometriosis,

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References


Roberge RJ, kantor WJ, Scorza L. Rectus abdominisendometrioma. Am J Emerg Med 1999. Nov; 17(7): 675-677.

Seydel AS, Sickle JZ, Warner ED, Sax HC.

Extrapelvicendometriosis: diagnosis and treatment.

Am J Surg1996. Feb; 171(2): 239-241.

Francica G, giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriosis near cesarean delivery scars. J Ultrasound Med. 2003; 22:1041-7.

KalooP, Reid G, Wong F. Caesarean section scar endometriosis: Two cases of recurrent disease and a literature review. Aust NZ J ObstetGynaecol. 2002; 42: 218-20.

Bumpers HL, Butler KL, Best IM. Endometrioma of the abdominal wall. AM J ObstetGynecol 2002. Dec; 187(6):1709-1710.

Sergent F, Baron M, Le Cornec JB, Scotte M, Mace P, Marpeau L. Malignant transformation of abdominal wall endometriosis: a new case report. J GynecolObstetBiolReprod (Paris) 2006. Apr; 35(2): 186-190.


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