{"paper_id":"2af61cb1-c897-4459-820a-a806d0fb707d","body_text":"Abstract\nBackground\nAbdominal scar endometriosis is an uncommon pathology. It can occur in any abdominal scar, most often after a surgical procedure on the uterus.\nAim\nThe purpose of this study is to highlight the potential pitfall in the diagnosis of this disease.\nPatients and methods\nThis retrospective study reviewed all cases of proven abdominal scar endometriosis seen in a 5-year period (2002–2006) in our hospital, noting the demographic data of the patients and management. They were all treated by the same surgeon and also had histopathological confirmation of the lesion.\nResults\nA total of 14 women were treated during this period. They were all pre-menopausal. The mean age was 29.1years (range 20 to 42). Presenting symptoms included painful ‘heaped-up’ scars and cyclical pain related to their menstrual periods. They were referred to the general surgical clinic with various diagnoses such as incisional hernia, granuloma, keloid scar etc. All the patients had history of previous surgical procedures on the uterus for various indications. Treatment was a wide excision of the lesion with apposition of the edges only. Specimens were examined histologically and confirmed to be endometriosis. The follow up periods were rather short as the patients stopped to attend the hospital. During this period, there was no recurrence or wound break-down.\nConclusion\nAlthough scar endometriosis is a rare entity, a good and diligent surgical history and a high index of suspicion are the keys for a pre-operative diagnosis.\nSimilar content being viewed by others\nReferences\nOlive DL, Schwartz LB (1993) Endometriosis. N Engl J Med 328:1759–1769\nClement PB (1990) Pathology of endometriosis. Pathol Annu 25:245–295\nHonore GM (1999) Extra pelvic endometriosis. Clin Obstet Gynecol 42:699–711\nVillalta J, Custarday AL, Carrasquev JA, Pujala M, Gambo P (2006) Endometriosis in a laparotomic scar after Cesarean section: report of two cases. Cir Esp 79(5):313–315\nSeli E, Berkkanoglu M, Arici A (2003) Pathogenesis of endometriosis. Obstet Gynecol Clin North Am 30:41–61\nCampbell IG, Thomas EJ (2001) Endometriosis: candidate genes. Hum Reprod update 7:15–20\nVinatire D, Oraz, G, Cosson M, Dufour P (2001) Theories of endometriosis. Eur J Obstet Gynecol Reprod Biol 96:21–34\nWicherek L, Dutsch-Wicherek M, Galazka K, Banas T, Popiela T, Lazar A, Kleinrok-Podsindlo B (2006) Comparison of RCAS1 and metallothionein expression and the presence and activity of immune cells in human ovarian and abdominal wall endometriomas. Reprod Biol Endocrinol 4:41\nAlberto VO, Lynch M, Labbei FN, Jeffers M (2006) Primary abdominal wall clear cell carcinoma arising in a caesarean section scar endometriosis. Ir J Med Sci. 175: 69–71\nSergent F, Bron M, Lecorne JB, Scotte M, Mace P, Marpeau L (2006) Malignant transformation of abdominal wall endometriosis: a new case report. J Gynecol Obstet Biol Reprod (Paris) 35:186–190\nHensen JH, Van Breda Vriesman AC, Puylaert JB (2006) Abdominal wall endometriosis. Clinical presentation and imaging features with emphasis on sonograph AJR Am J Roentgenol 186:616–620\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nJamabo, R.S., Ogu, R.N. Abdominal scar endometriosis. Indian J Surg 70, 184–187 (2008). https://doi.org/10.1007/s12262-008-0050-8\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s12262-008-0050-8","source_license":"CC0","license_restricted":false}