Differenzialdiagnostische Probleme und Therapie der Narbenendometriose - Problems in the Differential Diagnosis and Therapy of Scar Endometriosis -

Frank Nawroth, Dolores Foth, Tobias Schmidt, R Sudik, Thomas ̈Römer
In: Geburtshilfe und Frauenheilkunde · 2000 · vol. 60(10) , pp. 496–498 · doi:10.1055/s-2000-8031 · W2071632926
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This paper discusses differential diagnostic challenges, treatment options, and complications of scar endometriosis following cesarean section based on two patient cases and a literature review.

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This case report describes two women presenting with symptomatic scar endometriosis following cesarean sections, highlighting the clinical challenges in diagnosis and management. The authors utilize these specific cases alongside a review of existing literature to discuss differential diagnostic issues, therapeutic approaches, and potential complications associated with this condition. By examining the unique symptomatology and outcomes in these patients, the paper provides insights into how surgical scars can serve as sites for ectopic endometrial tissue implantation. This paper is centrally about endometriosis — specifically the rare presentation known as scar endometriosis or abdominal wall endometrioma occurring at previous surgical incision sites.

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Abstract

Wir beschreiben 2 Patientinnen mit einer Narbenendometriose unterschiedlicher Symptomatik nach Sectio caesarea. Anhand der Kasuistiken sowie der Literatur werden die differenzialdiagnostischen Probleme, Therapie und Komplikationen diskutiert.
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Subscribe to RSS DOI: 10.1055/s-2000-8031 Georg Thieme Verlag Stuttgart · New York Differenzialdiagnostische Probleme und Therapie der Narbenendometriose Problems in the Differential Diagnosis and Therapy of Scar EndometriosisPublication History Publication Date: 31 December 2000 (online) Zusammenfassung Wir beschreiben 2 Patientinnen mit einer Narbenendometriose unterschiedlicher Symptomatik nach Sectio caesarea. Anhand der Kasuistiken sowie der Literatur werden die differenzialdiagnostischen Probleme, Therapie und Komplikationen diskutiert. Summary We describe two patients with symptomatic scar endometriosis following cesarean section. We discuss the differential diagnosis, treatment and complications and review the literature. Schlüsselwörter Endometriom - Endometriose - Narbe Key words Endometrioma - Endometriosis - Scar Literatur - 1 Chatterjee S K. Scar endometriosis: A clinicopathologic study of 17 cases. Obstet Gynecol. 1980; 57 81-84 - 2 Gucer F, Reich O, Kometter R, Pieber D. Endometroid carcinoma arising with a scar endometriosis. Eur J Gynaecol Oncol. 1997; 18 42-43 - 3 Hesla J S, Rock J A. Endometriosis: In Linde's operative gynecology. Philadelphia; Lippincott-Raven 1997: 585-624 - 4 Khetan N, Torkington J, Watkin A, Jamison M H, Humphreys W V. Endometriosis: presentation to general surgeons. Ann R Coll Surg Engl. 1999; 81 255-259 - 5 Koger K E, Shatney C H, Hodge K, McClenathan J H. Surgical scar endometrioma. Surg Gynecol Obstet. 1993; 177 243-246 - 6 Liang C C, Liou B, Tsai C C, Chen T C, Soong Y K. Scar endometriosis. Int Surg. 1998; 83 69-71 - 7 Marconi G, Quintana R, Rueda-Leverone N G, Vighi S. Accidental ovarian autograft after a laparoscopic surgery: Case report. Fertil Steril. 1997; 68 364-366 - 8 Matthes G, Zabel D D, Nastala C L, Shestak K C. Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy: case report and review of the literature. Ann Plast Surg. 1998; 40 672-675 - 9 Miller D M, Schouls J J, Ehlen T G. Clear cell carcinoma arising in extragonadal endometriosis in a caesarean section scar during pregnancy. Gynecol Oncol. 1998; 70 127-130 - 10 Samson J A. Endometrioid carcinoma of the ovary arising in endometrial tissue in that organ. Arch Surg. 1925; 10 1-72 - 11 Thylan S. Re: abdominal wall endometrioma in a laparoscopic trocar tract: A case report. Am Surg. 1996; 62 617 - 12 Wolf G C, Kopecky K K. MR imaging of endometriosis arising in caesarean section scar. J Comput Assist Tomogr. 1989; 12 150-152 - 13 Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg. 1996; 62 1042-1044 Dr. med. Frank Nawroth Oberarzt Universitäts-Frauenklinik Köln Kerpener Straße 34 50931 Köln Email: E-mail: [email protected]

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