[Endometriosis in a laparotomic scar after cesarean section: report of two cases]

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Two cases of cesarean scar endometriosis were successfully diagnosed via clinical suspicion and aspiration cytology, with wide local excision proving curative for both patients.

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Abstract

Extrapelvic endometriosis in an abdominal wall surgical scar is a rare entity that is difficult to diagnose. However, it should be suspected in any woman of childbearing age complaining of a cyclic painful nodule in a scar from a previous obstetric or gynecologic procedure, after excluding other conditions such as incisional hernia, late abscess, or suture granuloma. Fine-needle aspiration biopsy provides an accurate preoperative diagnosis. Imaging studies such as ultrasound, computed tomography, or magnetic resonance imaging are non-specific, but may be helpful in identifying the exact anatomical location of the lesion and in excluding other surgical conditions. We present two cases of endometriosis in an abdominal wall scar that developed after cesarean section performed 7 years previously. In both patients, preoperative diagnosis, based on clinical suspicion in the first patient and aspiration cytology in the second, was correct. Wide local excision was curative in both patients.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Abdominal Wall Cicatrix Endometriosis Muscular Diseases Adult Adult Cesarean Section Cesarean Section Cesarean Section Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Female Female Humans Humans Muscular Diseases

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (19)

Cited by (9)

Source provenance

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