A case series of scar endometriosis after cesarean section

Suruchi Desai, Hetal U Mistry, Rashmi Parikh
In: Indian Journal of Case Reports · 2022 · vol. 8(9) , pp. 273–275 · doi:10.32677/ijcr.v8i9.3612 · W4307703601
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This case series describes two patients who developed scar endometriosis after cesarean section, presenting with cyclical abdominal pain at the incision site, and were treated with medical management.

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This case series examines two patients who developed scar endometriosis at the site of previous cesarean section incisions. Both individuals presented with cyclical abdominal pain that correlated with their menstrual cycles, a hallmark symptom of ectopic endometrial tissue responding to hormonal changes. The authors note that while imaging aids in detection and medical management can be employed, total excision is often recommended for severe cases to prevent recurrence. In this specific series, both patients were treated with medical management rather than surgical intervention. This paper is centrally about endometriosis — specifically focusing on the rare presentation of scar endometriosis following cesarean delivery.

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Abstract

Endometriosis is referred to the presence of functioning, ectopic endometrial tissue outside the pelvic cavity. Their occurrences after abdominal or pelvic surgeries especially cesarean section, at the site of scar incision, are documented. The patient experiences cyclical pain at the incision site related to the menstrual cycle. Imaging can be used to detect the lesion and medical management can be provided. However, in severe cases, total excision is recommended to avoid the chances of recurrence. Here, we present a case series of two cases of scar endometriosis after cesarean section, and both presented with cyclical pain in the abdomen. Medical management was provided for both cases.
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A case series of scar endometriosis after cesarean section DOI: https://doi.org/10.32677/ijcr.v8i9.3612Keywords: Cesarean section, hysterotomy, scar, cyclical painAbstract Endometriosis is referred to the presence of functioning, ectopic endometrial tissue outside the pelvic cavity. Their occurrences after abdominal or pelvic surgeries especially cesarean section, at the site of scar incision, are documented. The patient experiences cyclical pain at the incision site related to the menstrual cycle. Imaging can be used to detect the lesion and medical management can be provided. However, in severe cases, total excision is recommended to avoid the chances of recurrence. Here, we present a case series of two cases of scar endometriosis after cesarean section, and both presented with cyclical pain in the abdomen. Medical management was provided for both cases. Downloads Downloads Published Issue Section License Copyright (c) 2022 Suruchi Desai, Hetal U Mistry, Rashmi Parikh This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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endometriosis

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