CESAREAN SCAR ENDOMETRIOSIS: PRESENTATION OF 10 CASES AND LITERATURE REVIEW

Emin Levent Aksoy, Nigar ALMADADOVA, Mehmet Sühha Bostancı, Osman Köse, Serdar ÇİMEN, Gözde Çakırsoy Çakar
In: Karya Journal of Health Science · 2022 · vol. 3(2) , pp. 40–43 · doi:10.52831/kjhs.1024762 · W4226391783
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This study evaluated ten patients with cesarean scar endometriosis, finding it typically presents as a painful mass with a mean latency period of 44.6 months.

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This paper reports 10 cases of cesarean scar endometriosis and provides a literature review, describing clinical presentations and outcomes based on the gathered case experiences. The authors synthesize prior reports on surgical scar/extrapelvic endometriosis to contextualize how cesarean-scar lesions present and are discussed in the literature. A key limitation is that, like other case-series-and-review formats, the evidence base is descriptive and does not provide controlled comparisons or standardized diagnostic/management protocols. This paper is centrally about endometriosis — specifically cesarean scar endometriosis presenting in 10 cases and reviewed against the existing literature.

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Abstract

Objective: Endometriosis, characterized by the presence of functioning endometrial tissue in non-uterine locations, is a relatively common disease in women of reproductive age (10-15%). Besides that, cesarean scar endometriosis (CSE) is rarely seen; the clinical presentation of the disease is mainly in the form of a painful mass at the cesarean incision site. Method: Ten patients, whose diagnosis was confirmed histopathologically by surgery with CSE anterior chamber, were evaluated in terms of clinical and histopathological features. Results: The mean age of patients was 35 (min-max:22-45). Six (75%) of patients with pain symptoms were cyclic, and 2 (25%) were noncyclic. The mean latency period (time from last cesarean section to the beginning of symptoms) was 44,6 (min-max:6-88) months, and the mean duration between symptoms and surgery was 28,9 (min-max:2-60) months. Six (60%) of endometriomas were located right corner of the incision, and 4 (40%) were at the left. All of the endometriomas were solitary. The mean hospitalization time was 2,5 (min-max:1-6) days. Conclusion: Excision of endometriotic foci within 1 cm safety margins may be an appropriate curative treatment option.
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References

- Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447):1789-1799. - Steck WD, Helwig EB. Cutaneous endometriosis. Clin Obstet Gynecol. 1966;9(2):373-383. - Markham SM, Carpenter SE, Rock JA. Extrapelvic endometriosis. Obstet Gynecol Clin N Am. 1989;16(1):193-219. - Ideyi SC, Schein M, Niazi M, Gerst PH. Spontaneous endometriosis of the abdominal wall. Dig Surg. 2003;20(3):246-248. - Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185(6):596-598. - Dwivedi AJ, Agrawal SN, Silva YJ. Abdominal wall endometriomas. Dig Dis Sci. 2002;47(2):456-461. - Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet. 1993;177(3):243-246. - Hughes ML, Bartholomew D, Paluzzi M. Abdominal wall endometriosis after amniocentesis: a case report. J Reprod Med. 1997;42(9):597-599. Details Primary Language English Subjects Health Care Administration Journal Section Research Article Authors Nigar Almadadova 0000-0001-9290-3650 Türkiye Osman Köse 0000-0001-5656-6853 Türkiye Serdar Çimen This is me 0000-0002-1655-5807 Türkiye Publication Date August 31, 2022 Submission Date November 17, 2021 Acceptance Date April 13, 2022 Published in Issue Year 2022 Volume: 3 Number: 2

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