{"paper_id":"26d2e23b-e018-4ca3-9fe9-613d10033107","body_text":"Abstract\nBackground\nEctopic endometriosis is an uncommon disease. Abdominal scar endometriosis is especially rare.\nCase\nA 38-year-old gravid 1, para 1 woman underwent dilatation and curettage due to an intrauterine infection. During the procedure, uterine perforation occurred and an emergency laparotomy was performed to provide hemostasis and suturing. Three years later, she complained of pain and swelling at the lower end of her abdominal scar during menstruation. A biopsy of the abdominal scar demonstrated endometriosis. The patient elected to receive conservative management rather than a surgical procedure. Therefore, hormonal therapy was initiated. The hormonal therapy provided symptomatic relief and reduced the size of the lesion.\nConclusion\nWe reported an extremely rare case of scar endometriosis after a laparotomy for a uterine perforation that occurred as a complication of dilatation and curettage. We suggest that hormonal therapy using gonadotropin-releasing hormone agonist might be an alternative to surgical treatment for ectopic endometriosis.\nReferences\nMinaglia S, Mishell DR Jr, Ballard CA (2007) Incisional endometriomas after Cesarean section: a case series. J Reprod Med 52:630–634\nKoger KE, Shatney CH, Hodge K, McClenathan JH (1993) Surgical scar endometrioma. Surg Gynecol Obstet 177:243–246\nNirula R, Greaney GC (2000) Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg 190:404–407. doi:10.1016/S1072-7515(99)00286-0\nRani PR, Soundararaghavan S, Rajaram P (1991) Endometriosis in abdominal scars—review of 27 cases. Int J Gynaecol Obstet 36:215–218. doi:10.1016/0020-7292(91)90716-I\nWolf GC, Singh KB (1989) Cesarean scar endometriosis: a review. Obstet Gynecol Surv 44:89–95. doi:10.1097/00006254-198902000-00003\nWitz CA (1992) Current concepts in the pathogenesis of endometriosis. Clin Obstet Gynecol 42:566–585. doi:10.1097/00003081-199909000-00013\nAmato L, Coronella G, Berti S, Gallerani I, Moretti S, Fabbri P (2002) Successful treatment with doxycycline and nicotinamide of two cases of persistent pemphigoid gestations. J Dermatol Treat 13:143–146. doi:10.1080/09546630260199514\nPurvis RS, Tyring SK (1994) Cutaneous and subcutaneous endometriosis. Surgical and hormonal therapy. J Dermatol Surg Oncol 20:693–695\nConflict of interest statement\nWe declare that we have no conflict of interest.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nKurotsuchi, S., Iwase, A., Goto, M. et al. Scar endometriosis after a laparotomy for uterine perforation as a complication of dilatation and curettage. Arch Gynecol Obstet 279, 941–943 (2009). https://doi.org/10.1007/s00404-009-0963-x\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-009-0963-x","source_license":"public-domain-us","license_restricted":false}