Cesarean Scar Endometriosis in an Asymptomatic Patient who has not Pelvic Endometriosis

Gazi Yıldırım, Yücel İnan, Nil Çomunoğlu, Rukset Attar, Rükset Attar, Nilüfer Çetinkaya, Canan Yılmaz, Narter Yeşildağlar, Ateş Karateke, Cem FIÇICIOĞLU
2010 · W4300415396
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This case report describes the diagnosis and management of a rare instance of cesarean scar endometriosis in a patient who presented without symptoms and had no evidence of pelvic endometriosis. The authors highlight that abdominal wall endometriomas can occur independently of intra-pelvic disease, challenging the assumption that extra-pelvic lesions always accompany pelvic pathology. Surgical excision confirmed the presence of an endometriotic nodule within the prior cesarean section scar tissue. This paper is centrally about endometriosis — specifically focusing on the atypical presentation of abdominal wall endometriosis in the absence of pelvic involvement.

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Abstract

Endometriosis is still a poorly understood disease. Endometriosis is frequently seen within pelvic region. But, its presentation is highly variable, particularly in extragenital sites, making diagnosis difficult and potentially delaying treatment. Sometimes extrapelvic endometriosis can be seen. We presented a cesarean scar endometriosis case and with this case report discussed pathophysiology of the disease.
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Pelvik Endometriozisi Olmayan Asemptomatik Bir Hastanın Sezaryen Skarında Endometriotik Nodül Öz Anahtar Kelimeler Kaynakça - 1. Nezhat F, Shamshirsaz A, Yildirim G. Pelvic Pain, Endometriosis, and the Role of the Gynecologist. In: Altcheck A & Deligdisch L eds. Pediatric, Adolescent and Young Adult Gynecology. 1st ed. New Jersey: Wiley-Blackwell, 2009: 174-194. - 2. Rehman J, Yildirim G, Khan SA, Chughtai B, Nezhat F. A case of successful laparoscopic resection of adrenal gland endometriosis. Fertil Steril. 2008 Nov; 90: 2015. - 3. Gaunt A, Heard G, McKain ES, Stephenson BM. Caesarean scar endometrioma. Lancet 2004; 364: 368-369. - 4. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003 Jun; 185: 596-598. - 5. Teng CC, Yang HM, Chen KF, Yang CJ, Chen LS, Kuo CL. Abdominal wall endometriosis:an overlooked but possibly preventable complication. Taiwan J Obstet Gynecol 2008; 47: 42-48. - 6. Kaplan O, Abramov L, Holim K. Abdominal wall endometriosis imitating incisional hernia Akush Ginekol 2000; 39: 50-51 - 7. Kocakusak A, Arpınar E, Arıkan S, Demirbag N, Tarlacı A, Kabaca C. Abdominal Wall Endometriosis: A Diagnostic Dilemma for Surgeons. Med Princ Pract 2005; 14: 434-437. - 8. Erkan N, Haciyanli M, Sayhan H. Abdominal wall endometriomas. Int J Gynecol Obstet 2005; 89: 59-60. Ayrıntılar Birincil Dil Türkçe Konular - Bölüm - Yazarlar Gazi Yıldırım Bu kişi benim Yücel İnan Bu kişi benim Nil Çomunoğlu Bu kişi benim Rukset Attar Bu kişi benim Nilüfer Çetinkaya Bu kişi benim Canan Yılmaz Bu kişi benim Narter Yeşildağlar Bu kişi benim Ateş Karateke Bu kişi benim Cem Fıçıcıoğlu Bu kişi benim Yayımlanma Tarihi 1 Haziran 2010 Gönderilme Tarihi 29 Temmuz 2014 Kabul Tarihi - Yayımlandığı Sayı Yıl 2010 Cilt: 15 Sayı: 3

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