{"paper_id":"950d0e33-e1a0-4913-9897-5af648bf77f4","body_text":"Abstract\nTo diagnose scar endometriosis when an abdominal wall mass is found near the scar from a previous operation requires a high degree of suspicion. Pre-operatively, ultrasound and fine needle aspiration can be of help. Awareness of diagnosis avoids delay in diagnosis, treatment, and unnecessary referrals to other specialities. We reviewed five cases of scar endometriosis presenting to our unit in the last 5 years and included a literature review.\nSimilar content being viewed by others\nReferences\nRoyal College of Obstetrics and Gynecologists (2000) The investigation and management of endometriosis guideline no.24. RCOG, London\nDouglas C (2004) Extragenital endometriosis—a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol 24(7):804–808\nYao XY (1990) Sequelae in 4122 cases of cesarean section. Zhonghua Fu Chan Ke Za Zhi 25(1):15–17, 61\nRani PR, Soundararaghavan S, Rajaram P (1991) Endometriosis in abdominal scars—review of 27 cases. Int J Gynaecol Obstet 36(3):215–218\nSingh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM (1996) Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg 83(5):711\nXiang Y, Lang J, Wang Y, Huang R, Lian L (1995) Abdominal scar endometriosis: report of 28 cases. Chin Med Sci J 10(3):188–190\nWolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O (1996) Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg 62(12):1042–1044\nFrancica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G (2003) Abdominal wall endometriomas near cesarean delivery scars: sonographic and color Doppler findings in a series of 12 patients. J Ultrasound Med 22(10):1041–1047\nPerez-Reyes M, Brown JJ, Borrello JA, Yu CY (1994) MR appearance of umbilical endometriosis. J Comput Assist Tomogr 18(2):269–271\nBalleyguier C, Chapron C, Chopin N, Helenon O, Menu Y (2003) Abdominal wall and surgical scar endometriosis: results of magnetic resonance imaging. Gynecol Obstet Invest 55(4):220–224\nSimsir A, Thorner K, Waisman J, Cangiarella (2001) Endometriosis in abdominal scars: a report of three cases diagnosed by fine-needle aspiration biopsy. Am Surg 67(10):984–986\nAshfaq R, Molberg KH, Vuitch F (1994) Endometriosis as a diagnostic pitfall of fine needle aspiration biopsy. A report of three cases. Acta Cytol 38(4):577–581\nBerardo MD, Valente PT, Powers CN (1992) Cytodiagnosis and comparison of nondecidualized and decidualized endometriosis of the abdominal wall. A report of two cases. Acta Cytol 36(6):957–962\nWasfie T, Gomez E, Seon S, Zado B (2002) Abdominal wall endometrioma after cesarean section: a preventable complication. Int Surg 87(3):175–177\nRivlin ME, Das SK, Patel RB, Meeks GR (1995) Leuprolide acetate in the management of cesarean scars endometriosis. Obstet Gynecol 85(5 Pt 2):838–839\nPurvis RS, Tyring SK (1994) Cutaneous and subcutaneous endometriosis. Surgical and hormonal therapy. J Dermatol Surg Oncol 20(10):693–695\nMatthes G, Zabel DD, Nastala CL, Shestak KC (1998) Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy: case report and review of the literature. Ann Plast Surg 40(6):672–675\nNagy P (2003) Endometrial carcinoma arising from endometriosis in the episiotomy scar (in Hungarian). Orv Hetil 23 144(8):373–374\nPalatynski A, Gruszczynska (2001) Endometriosis in surgical scars after cesarean section comparison of the operative methods. Ginekol Pol 72(5):313–316\nAcknowledgement\nWe acknowledge the help provided by the Coding Department of Royal Gwent Hospital, Newport.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nMeti, S., Wiener, J.J. Scar endometriosis—a diagnostic dilemma. Eur Clinics Obstet Gynaecol 2, 62–64 (2006). https://doi.org/10.1007/s11296-006-0032-y\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s11296-006-0032-y","source_license":"CC0","license_restricted":false}