{"paper_id":"da2a55cf-23cd-4958-96d3-c40b2c7cb580","body_text":"Abstract\nObjective\nTo report a case of Caesarean scar endometriosis presenting as acute abdomen and a review of literature.\nDesign\nCase report and literature review.\nPatient\nA 27-year-old woman presented in Accident and Emergency Department with pain and lump near left edge of pfannenstiel incision scar.\nIntervention\nAfter initial investigations the patient underwent examination under anesthesia.\nMain outcome measure\nExcision of a tumour-like mass adherent to the skin and the surrounding subcutaneous tissue. The mass was dissected free from the surrounding fat tissue and excised with clear margins.\nResult\nHistology of the mass confirmed endometriosis in tumour and showed a 2 cm fibrotic nodule within.\nConclusion\nIn light of increasing rate of caesarean section, it is important to emphasize the early diagnosis as well as optimum management of scar endometrioma. Many recommendations have been given to modify practices at caesarean section to prevent transplantation of decidual endometrial tissue in the abdominal scar but without any published randomised trials.\nAccess this article\nWe’re sorry, something doesn't seem to be working properly.\nPlease try refreshing the page. If that doesn't work, please contact support so we can address the problem.\nSimilar content being viewed by others\nReferences\nBergqvist A (1993) Different types of extragenital endometriosis: a review. Gynaecol Endocrinol 7:207–221\nWolf GC, Singh KB (1989) caesarean scar endometriosis a review. Obstet Gynaecol Surv 44:89–95\nChatterjee SK (1980) Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynaecol 56:81–84\nSteck WD, Helwig EB (1965) Cutaneous endometriosis. JAMA 191:101–104\nScholefield HJ, Sajjad Y, Morgan PR (2002) Cutaneous endometriosis and its association with caesarean section and gynaecological procedures. J Obstet Gynaecol 22(5):553–554\nSeydel AS, Sickel JZ, Warner ED, Sax HC (1996) Extrapelvic endometriosis: diagnosis and treatment. Am J Surg 171:239\nVorapong P, Surang T (2002) Caesarean section scar endometriosis: a case report and review of the literature. J Med Assoc Thai 85:733–738\nGrassi CJ, Alday MR, Costello P (1985) computed tomography appearance of subcutaneous endometrioma. J Comput Tomogr 9:157–159\nBumpers HL, Butler KL, Best IM (2002) Endometrioma of the abdominal wall. Am J Obstet Gynecol 187:1709–1710\nMiller DM, Schouls JJ, Ehlen TG (1998) Clear cell carcinoma arising in extragonadal endometriosis in a caesarean section scar during pregnancy. Gynecol Oncol 70:127–130\nPhilip K, Reid G, Wong F (2002) Caesarean section scar endometriosis: two cases of recurrent disease and a literature review. Aust NZ J Obstet Gynaecol 42(2):218–220\nDouglas C, Rotimi O (2004) Extragenital endometriosis–a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol 24(7):804–808\nPrentice A (2001) Endometriosis. Regular review. BMJ 323:93–95\nKhetan N, Torkington J, Watkin A, Jamison MH, Humphreys WV (1999) Endometriosis: presentation to general surgeons. Ann R Coll Surg Engl 81:255–259\nMartin RH, Higginbottom J (1973) Hysterectomy and endometriosis. Lancet 7820(July):106\nEogan M, McKenna P (2002) Endometriosis in caesarean section scars. Ir Med J 95(8):247\nTarik Wasfie, Edward Gomez, Silvia Seon, Barina Zado (2002) Abdominal wall endometrioma after Caesarean section: a preventable complication. Int Surg 87:175–177\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nGajjar, K.B., Mahendru, A.A. & Khaled, M.A. Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature. Arch Gynecol Obstet 277, 167–169 (2008). https://doi.org/10.1007/s00404-007-0431-4\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-007-0431-4","source_license":"CC0","license_restricted":false}