CASE REPORT: EVALUATION OF A CASE OF ENDOMETRIOSIS DEVELOPED IN SCAR TISSUE

Müjde Canday, Aslıhan Yurtkal, Hatice Beşeren
In: Caucasian Journal of Science · 2022 · vol. 9(2) , pp. 196–202 · doi:10.48138/cjo.1219158 · W4313261103
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This case report describes a painful abdominal wall mass diagnosed as endometriosis through imaging and confirmed by pathology two years after a cesarean section.

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This 2022 case report describes the evaluation of a patient with endometriosis that developed in scar tissue, focusing on the clinical workup and diagnostic considerations for abdominal wall involvement. The paper presents the case details as well as supporting context from prior scar endometriosis reports in the literature. A key limitation of the evidence is that it is a single-patient report, and the conclusions are inherently constrained by the lack of generalizable data beyond the presented evaluation. This paper is centrally about endometriosis—specifically endometriosis arising in scar tissue.

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Abstract

Endometriosis is the ectopic location of the endometrial stroma and glands outside the uterine cavity. Skin endometriosis is usually seen after cesarean section. Patients usually have pain, swelling and sometimes bleeding at the scar site associated with menstruation. The definitive diagnosis in these patients is surgical excision. In this case, a painful growing mass was detected 5 cm from the incision site of the patient who applied with the complaint of swelling and pain in the incision area 2 years after the cesarean section. He was hospitalized with a preliminary diagnosis of endometriosis with ultrasonography and magnetic resonance imaging findings. The mass was totally excised and sent to pathology. The diagnosis of endometriosis was confirmed in the pathological examination. Endometriosis should not be ignored in the differential diagnosis of anterior abdominal wall masses in female patients.
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References

- Adamson, G. D., & Pasta, D. J. (2010). Endometriosis fertility index: the new, validated endometriosis staging system. Fertility and sterility, 94(5), 1609-1615. https://doi.org/ 10.1016/j.fertnstert.2009.09.035 - Sidiropoulou, Z., Sousa, A. C., Gameiro, P., & Madureira, R. (2009). Spontaneous abdominal wall endometriosis, a case report and a literature review. Journal of Clinical and Diagnostic Research [serial online]. https://doi.org/ 10.1016/j.ijscr.2020.12.016 - Akdemir, A., Akman, L., Yavuzsen, H. T., & Zekioglu, O. (2014). Clinical features of patients with endometriosis on the cesarean scar. The Kaohsiung Journal of Medical Sciences, 30(10), 541-543. https://doi.org/ 10.4274/tjod.90922 - Demiral, G., Aksoy, F., Ozcelik, A., Saban, B., Kusak, M., Ekinci, O., & ERENGUL, C. (2011). Cesarean scar endometriosis: presentation of eleven clinical cases and review of the literature. J Turk Soc Obstet Gynecol, 8(3), 209-213. https://doi.org/ 10.1186/s12905-019-0711-8 - Douglas, C., & Rotimi, O. (2004). Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations. Journal of Obstetrics and Gynaecology, 24(7), 804-808. https://doi.org/ 10.1080/01443610400009568 - Elabsi, M., Lahlou, M. K., Rouas, L., Essadel, H., Benamer, S., Mohammadine, A., ... & Belmahi, A. (2002, January). Cicatrix endometriosis of the abdominal wall. In Annales de Chirurgie (Vol. 127, No. 1, pp. 65-67). https://doi.org/ 10.1080/01443610400009568 - Gupta, P., & Gupta, S. (2014). Scar Endometriosis: Case Report with Literature Review. Nepal Journal of Obstetrics and Gynaecology, 9(2), 55-57. https://doi.org/10.1177/2284026518783663 - Medeiros, F. D. C., Cavalcante, D. I. M., Medeiros, M. A. D. S., & Eleuterio Jr, J. (2011). Fine‐needle aspiration cytology of scar endometriosis: Study of seven cases and literature review. Diagnostic cytopathology, 39(1), 18-21. https://doi.org/ 10.1002/dc.21319 Details Primary Language English Subjects Environmental Sciences Journal Section Case Report Authors Aslıhan Yurtkal 0000-0001-6173-3994 Türkiye Müjde Canday 0000-0002-0164-2764 Türkiye Hatice Beşeren * 0000-0002-4780-540X Türkiye Publication Date December 31, 2022 Submission Date December 14, 2022 Acceptance Date December 29, 2022 Published in Issue Year 2022 Volume: 9 Number: 2

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endometriosis

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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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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