Cesarean scar endometriosis. A report of two cases.
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Two cases of cesarean scar endometriosis, presenting as cyclic, painful scar masses, were successfully treated with surgical excision, suggesting this condition may be underreported.
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Abstract
BACKGROUND: Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric/gynecologic procedures. Cesarean section scar endometriosis may be more common than reflected in the literature and has a distinct presentation and treatment. CASES: Two patients with histories of cesarean sections presented with a painful, enlarging mass involving the cesarean section scar. The pain was cyclic and strongest just prior to menstruation. Both patients were treated with surgical excision, and both specimens had endometriosis confirmed by histopathology. CONCLUSION: Endometriosis involving a cesarean section scar may be more common than thought. Patients typically present with a history of cesarean section or other obstetric/gynecologic surgery and are found to have a mass involving the scar, with symptoms intensifying prior to each menstrual cycle. Surgical excision is the treatment of choice, providing both diagnostic and therapeutic intervention.
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Cited by (28)
- Role of MRI in Diagnosis of Uterine Caesarean Scar Endometriosis: A Case Report 2022
- Extragenital endometriosis with lesions of the small and large intestine, the formation of a pathological cavity draining to the anterior abdominal wall (case report) 2021
- Bleeding abdominal scar endometriosis-a case report 2021
- Endometriotic Uterocutaneous Fistula after Caesarean Section- Successful Diagnosis with Fistulogram and Complete Tract Resection and Medical Treatment: A Case Report 2020
- Intramural Bladder Endometriosis Secondary to Cesarean Section 2020
- Risk factors related to the recurrence of endometrioma in patients with long-term postoperative medical therapy 2018
- Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion 2017
- Scar endometriosis after caesarean section: a case series and review of literature 2016
- Parietal wall endometriosis: a rare case report 2015
- Subcutaneous endometriosis: a rare cause of deep dyspareunia 2014
- Abdominal Wall Endometriosis as Endometrioma-Cutaneous Fistula: A Case Report 2014
- Case Report: Surgical Scar Endometriosis Following Caesarean Section 2014
- Recommending Different Treatments as Preventive Measures against Incisional Endometrioma. 2013
- Endometriose de ferida cirúrgica 2013
- Abdominal scar endometriosis after caesarean section: report of five cases. 2011
- Abdominal scar endometriosis after Caesarean section: a rare entity 2011
- Abdominal Wall Endometriosis 2010
- Scar Endometriosis - A Rare Disease Occurrence 2009
- Incisional endometriosis: a report of 3 cases. 2009
- ENDOMETRIOMA DE MÚSCULO RECTO ABDOMINAL EN PACIENTE CON CICATRIZ DE CESÁREA 2008
- Abdominal Wall Endometriosis: An Overlooked but Possibly Preventable Complication 2008
- Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases 2008
- Scar endometriosis—a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases 2006
- Casos Clínicos / Radiological Case Reports 2005
- Endometriosis extrapélvica: reporte de tres casos y revisión narrativa de la literatura 2005
- Scar endometriosis presenting as an acute abdomen: A case report 2003
- Endometriotic Uterocutaneous Fistula after Cesarean Section 2003
- Endometriosis de la pared abdominal tras cirugía ginecológica 2003
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