Scar Endometrioma: An Uncommon Yet Easily Treated Condition.

Alaattin Öztürk, Alaattin Ozturk, Ozturk A, Kaya C, Cengiz Kaya, Bozkurtoglu H, Hakan Bozkurtoglu, Tan N, Necati Tan, Zuhal Yananlı, Yananli ZD, Zuhal Demirhan Yananli, Ergün Uçmaklı, Ergun Ucmakli, Ucmakli E
The Journal of reproductive medicine · 2016 · vol. 61(5-6) , pp. 249–53 · PMID:27424368 · W2477983110
article OA: closed CC0 ⤵ 10 in-corpus citations
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This retrospective review of 21 patients found that scar endometrioma, a rare condition affecting cesarean section scars, is easily treated with total excision and has a low recurrence rate.

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Abstract

OBJECTIVE: To illustrate and emphasize the need for keeping scar endometrioma in mind in order to facilitate an early diagnosis in cases of a mass detected on the abdominal wall in women who have undergone a cesarean section. STUDY DESIGN: Records of 21 patients were reviewed retrospectively. All the patients complained of a mass on the abdominal wall and had undergone cesarean section in the past. Endometrioma was confirmed histopathologically for each patient. Information about the characteristics of the patients are retrieved from the patient records and analyzed. RESULTS: The average age of patients was 31 years. The average duration before onset of the complaints in the postcesarean section period was 32.9 months, and the average duration of the complaints was 25.3 months. In most cases (62%) the scar endometrioma was located at the right end of the Pfannenstiel incision. The average size of the endometrioma masses was 30 mm. Recurrence was not observed in any of the patients during an average follow-up of 31.3 months after total excision. CONCLUSION: Scar endometrioma is a rare disease which can be treated easily. If a mass on a cesarean section scar which becomes sensitive during menstruation is detected in a patient with history of cesarean section, the diagnosis of scar endometrioma should be suspected.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Cesarean Section Cicatrix Endometriosis Abdominal Wall Abdominal Wall Adult Cicatrix Cicatrix Endometriosis Endometriosis Female Humans Middle Aged Retrospective Studies Tomography, X-Ray Computed Ultrasonography Young Adult

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License: CC0 · commercial use OK