Endometriosis in Obstetric Surgical Scars- A Case Report

In: International Journal of Contemporary Surgery · 2014 · vol. 2(1) , pp. 23 · doi:10.5958/j.2321-1024.2.1.007 · W1992651399
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This case report describes two patients who developed scar endometriosis following cesarean section and episiotomy, presenting as painful palpable masses that were confirmed by histopathology after excision.

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This case report describes two instances of scar endometriosis occurring in patients following cesarean section and episiotomy procedures. The authors note that this condition is rare, difficult to diagnose preoperatively due to a lack of clinical awareness, and often mimics other surgical complications. In both reported cases, the diagnosis was confirmed through histopathological examination after the excision of painful, palpable masses, highlighting the importance of maintaining clinical suspicion for such presentations. This paper is centrally about endometriosis — specifically, the presentation and management of scar endometriosis following obstetric surgeries.

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Abstract

Endometriosis is defined as a disease characterized by presence of tissue that is morphologically and biologically similar to normal endometrium, and contains functional endometrial glands and stroma, in ectopic locations outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting two cases of scar endometriosis following cesarean section and episiotomy. Both the patients presented with a painful palpable mass which were excised and the histopathological examination confirmed the diagnosis. Clinical suspicion is often enough to clinch the diagnosis. Lack of awareness of this condition makes the preoperative diagnosis difficult.
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- Year: 2014 - Volume: 2 - Issue: 1 - Author: - Manisha Gupta1, Bhanu Priya Yadav2, Parul Singhal3, Abhishek Singh2, Shalabh Gupta4 - Total Page Count: 3 - Page Number: 23 to 25 1Associate Professor, Department of Obs and Gynae, Santosh Medical College, Ghaziabad, Uttar Pradesh, India 2PG, Department of Surgery, Santosh Medical College, Ghaziabad, Uttar Pradesh, India 3Associate Professor, Department of Pathology, Santosh Medical College, Ghaziabad, Uttar Pradesh, India 4Professor and Head, Department of Surgery, Santosh Medical College, Ghaziabad, Uttar Pradesh, India Online published on 27 March, 2014. Endometriosis is defined as a disease characterized by presence of tissue that is morphologically and biologically similar to normal endometrium, and contains functional endometrial glands and stroma, in ectopic locations outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting two cases of scar endometriosis following cesarean section and episiotomy. Both the patients presented with a painful palpable mass which were excised and the histopathological examination confirmed the diagnosis. Clinical suspicion is often enough to clinch the diagnosis. Lack of awareness of this condition makes the preoperative diagnosis difficult. Scar Endometriosis, Episiotomy, Endometrioma

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endometriosis

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