Sezaryen sonrası kesi yerinde saptanan endometriozisler

Aylin Hande Gökçe, Atakan Ozkan, Feridun Suat Gökçe
In: Pamukkale Medical Journal · 2020 · doi:10.31362/patd.669590 · W3010697158
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This study analyzed patients with post-cesarean endometriosis, finding no significant differences in age, prior C-section count, diagnosis time, or endometriosis size between left and right incision masses.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper focuses on endometriosis that develops at the incision site following a cesarean section, reviewing clinical features and emphasizing the post-surgical abdominal wall setting. It synthesizes prior case reports and series, including clinical characteristics and surgical approaches described in cohorts and retrospective reports, and discusses diagnostic findings reported near cesarean-scar sites. A key limitation is that much of the available evidence referenced is case-based and observational, limiting definitive conclusions about incidence or causality. This paper is centrally about endometriosis — specifically cesarean-scar/incisional endometriosis in the abdominal wall after C-section.

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Abstract

Objective: Endometriosis is defined as the presence of endometrial glands and endometrial stroma outside the uterus. In this study, we aimed to investigate the possible relationship between the number of caesarean section (C-section), size of endometriosis, age, and time to diagnosis after C-section in patients diagnosed with endometriosis after C-section. Materials and Methods: Patients who were operated for mass formation after C-section and pathologically diagnosed with endometriosis in our clinic between December 2012 and December 2012 were retrospectively analyzed. Data including age of the patients, number of previous C-section, time to diagnosis following the procedure, size of endometriosis were recorded. The patients were divided into two groups as Group 1 consisting of nine patients with a mass on the right side of the midline and Group 2 consisting 12 patients with a mass on the left side. Results: There was no significant difference in the age, number of previous C-section, time to diagnosis after the procedure, and size of endometriosis between the groups (p=0.795, p=0.655, p=0.432, and p=0.434, respectively). A total of 90% of the patients had pain, while 86% had a mass. In the majority of the patients, the mean time to diagnosis after the first C-section was 14.9±6.8 months. Conclusion: Our study results suggest that endometriosis in addition to incisional hernia and hematoma should be taken into consideration in the differential diagnosis in patients presenting with pain and/or a mass which can enlarge and shrink with the menstrual cycle under the incision scar after C-section.
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References

- 1- Barlas D, Bozkurt S, Kaya MA, Çelik F. Rektus abdominus kası yerleşimli skar endometriyozisi. Ulus Travma Acil Cerrahi Derg. 2010; 16(4):371-372. - 2- Gordon CW, Singh KB. Cesarean scar endometriosis: a review. Obstet Gynecol Surv 1989;42:89-95. - 3- Hekimoglu L,Tatlıkazan S. Incisional endometriosis after caesarean section: a case report. Türk Aile Hek Derg 2013;17(1):23-25. doi:10.2399/tahd.12.40085. - 4- Tatli F, Gozeneli O, Uyanikoglu H, Uzunkoy A, Yalcın HC, Ozgonul A,et al. The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women.. Bosn J of Basic Med 2018;18(3):275-278 . Doi:10.17305/bjbms.2018.2659 - 5- Khachani I, Adib AF, Bezad R. Cesarean Scar Endometriosis: An Uncommon Surgical Complication on the Rise? Case Report and Literature Review. Hindawi Case Reports in Obstetrics and Gynecology 2017;1-4. Doi:10.1155/2017/8062924 - 6- Zhangand J, Liu X. Clinico pathological features of endometriosis in abdominal Wall. Clinical and experimental obstetrics and gynecology 2016;43(3):379–83. - 7- Pas K, Joanna SM, Renata R, Skręt A, Barnas E. Prospective study concerning 71 cases of caesarean scar endometriosis (CSE). Journal of Obstetrics and Gynaecology 2017;37(6):775-778 . Doi: 10.1080/01443615.2017.1305333. 8- Ding Y, Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. International Journal of Gynecology & Obstetrics 2013;121:41–44. - 9- Francica G. Reliable clinical and sonographic findings in the diagnosis of abdominal wall endometriosis near cesarean section scar. World Journal of Radiology 2012Ü;4:135–140 Details Primary Language English Subjects Surgery, Internal Diseases, Pathology Journal Section Research Article Authors Atakan Ozkan 0000-0003-1729-3148 Türkiye Publication Date May 14, 2020 Submission Date January 3, 2020 Acceptance Date March 23, 2020 Published in Issue Year 2020 Volume: 13 Number: 2

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endometriosis

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