Two Cases of Extrapelvic endometriosis following Laparoscopy-assisted vaginal hysterectomy and Cesarean section

Jei Jun Bae, Mi Sun Lim, Min Whan Koh, Tae Hyung Lee, Mi Jin Kim
In: Yeungnam University Journal of Medicine · 2007 · vol. 24(1) , pp. 91 · doi:10.12701/yujm.2007.24.1.91 · W2332520810
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This report details two cases of extrapelvic endometriosis occurring in surgical scars following a laparoscopic-assisted vaginal hysterectomy and a cesarean section, confirmed by pathology after complete excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports two cases of extrapelvic endometriosis developing after laparoscopy-assisted vaginal hysterectomy in one patient and after a hysterectomy plus cesarean section in another, describing the clinical presentation, surgical findings, and histopathologic confirmation of endometriotic lesions. The authors present each case at a high level with timeline details and imaging/laparoscopic operative descriptions, and they note that both patients showed disease at sites outside the pelvis (including at or near prior surgical/incision-related areas). The paper’s main limitation is that it is based on only two case histories, with no comparative analysis or generalizable estimation of incidence or risk. This paper is centrally about endometriosis — specifically extrapelvic endometriosis following laparoscopic-assisted hysterectomy/cesarean section.

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Abstract

Extrapelvic endometriosis is a rare disease.The majority of extrapelvic endometriosis cases involve scar tissue following obstetric and gynecologic procedures.We have treated two cases of extrapelvic incisional endometriosis.A 39 year old female patient with cyclic vaginal spotting after laparoscopic assisted vaginal hysterectomy due to uterine myoma and a 35 year old female patient with a painful palpable abdominal mass after cesarean section.Both underwent complete excision and were proven to have endometriosis by pathology.Here we report on both cases and review the medical literatures. 1)
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