Scar Endometriosis Invading the Rectus Sheath Misdiagnosed as Incisional Hernia

In: Journal of Gynecologic Surgery · 2016 · vol. 33(2) , pp. 74–76 · doi:10.1089/gyn.2016.0078 · W2587867807
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A rare case of scar endometriosis mimicking an incisional hernia was surgically excised and histopathologically confirmed, with the patient experiencing an uneventful recovery.

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Abstract

Background: Scar endometriosis is a rare entity of endometriosis with an incidence of <1%. Case: A 39-year-old woman developed scar endometriosis on top of a Pfannenstiel incision and that invaded her rectus sheath. This patient's condition was initially misdiagnosed as an incisional hernia. She was found to have a mass, which was excised surgically and sent for histology testing. Results: Histopathologic testing revealed that this patient had scar endometriosis. A postoperative follow-up at 18 months showed that she had an uneventful recovery. Conclusions: Scar endometriosis is a rare and deceptive condition that might mimic an incisional hernia, thus, requiring a high level of suspicion. A multidisciplinary approach is essential for reaching the correct diagnosis especially in atypical cases. (J GYNECOL SURG 33:74)

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Condition tags

endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (11)

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