{"paper_id":"94236d29-e572-49dc-9f45-1df0f4617d33","body_text":"Serial Kasus : Presentasi Klinis dan Tata Laksana Nodul Endometriosis Subkutan\nDOI:\nhttps://doi.org/10.36452/jkdoktmeditek.v31i2.3479Keywords:\ncesarean section, subcutaneous endometriosis, surgical managementAbstract\nIntroduction: Subcutaneous endometriosis is a rare condition with\nendometrial tissue localized outside the pelvis and often mimics general\nendometriosis. The novelty of this study is an in-depth understanding of\nthe specific risk factors associated with subcutaneous endometriosis\nafter cesarean section and how optimal therapeutic approaches can\nprovide better outcomes in patients with a history of endometriosis. This\nstudy aims to explore the clinical presentation, outcomes, and\nmanagerial approaches to this condition, as well as provide evidencebased recommendations for its management. Case Illustration: This\nstudy involved seven patients at Cipto Mangunkusumo Hospital (January\n2022–December 2024). Data collected included demographics, age, BMI,\ninitial symptoms, time of symptom onset, history of cesarean section,\nhistory of endometriosis, complications, nodule size, therapeutic\napproaches, and clinical outcomes. Discussion: Of the seven patients,\nthree underwent one cesarean section, two underwent two operations,\nand two underwent more than two cesarean sections. A history of diffuse\nadenomyosis was found in three patients. Subcutaneous nodules located\nmainly in the cesarean scar, had highly variable sizes and caused\nsignificant pain (VAS 5–6). Dienogest therapy was given to three patients\nand significantly reduced pain. Conclusion:Subcutaneous endometriosis\nis often associated with a history of abdominal surgery, especially\ncesarean section. Extrapelvic location can be mistaken for keloid or\nfibroma, which hinders timely diagnosis. The novelty of this study lies in\nemphasizing the importance of multidisciplinary collaboration in the\nmanagement of subcutaneous endometriosis, especially involving plastic\nsurgeons to improve aesthetic results and prevent recurrence.\nTreatment involving hormonal therapy or surgery, based on the size and\nlocation of the nodule, is essential for optimal results.\nReferences\nSuwartono H, Kaput JA, Astijani NS. Endometriosis subkutan: laporan kasus. J Med Prof [Internet]. 2022;4(1). Available from: https://jurnal.fk.untad.ac.id/index.php/medpro/article/view/585\nTansil A R, Savitri I, Rambulangi J. Subcutaneous endometriosis after cesarean section: a case report. Nusant Med Sci J [Internet]. 2023;8(1). Available from: https://journal.unhas.ac.id/index.php/jmednus/article/view/21634\nUyan A, Durmuş G, Sezak N, Özdemir B, 6 nama?, et al. Are soap, paper towel and alcohol-based disinfectants easily accessible in intensive care units in Turkey?: Results of the Phokai Study. 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Clinical and pathological characteristics of scar endometriosis: A review. BMC Womens Healt\nDownloads\nPublished\nHow to Cite\nIssue\nSection\nLicense\nCopyright (c) 2025 Shelly Franciska, Achmad Kemal Harzif, Shindie Dona Kezia Lethulur\nThis work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.","source_license":"CC0","license_restricted":false}