Scar endometriosis—a diagnostic dilemma
Diagnosing scar endometriosis requires high suspicion, utilizing ultrasound and fine needle aspiration pre-operatively to avoid diagnostic delays.
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This paper reviews five cases of scar endometriosis seen in a single unit over the preceding five years and includes a literature review, focusing on how to diagnose an abdominal wall mass that occurs near a prior surgical scar. The authors note that pre-operative ultrasound and fine needle aspiration may help, but they emphasize that diagnosis requires a high degree of suspicion to avoid delays and unnecessary referrals, which is the main diagnostic dilemma highlighted. A key caveat is that the evidence base is limited to a small case series plus a literature review, without a larger prospective comparison of diagnostic accuracy. This paper is centrally about endometriosis — it specifically addresses diagnostic challenges and pre-operative imaging/cytology considerations for scar endometriosis near prior abdominal surgery.
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References (20)
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- Abdominal wall endometrioma after cesarean section: a preventable complication. via openalex
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- Cutaneous and Subcutaneous Endometriosis via openalex
- Cutaneous endometriosis as a diagnostic pitfall of fine needle aspiration biopsy. A report of three cases. via openalex
- Cytodiagnosis and comparison of nondecidualized and decidualized endometriosis of the abdominal wall via openalex
- Cytodiagnosis and comparison of nondecidualized and decidualized endometriosis of the abdominal wall. A report of two cases. via openalex
- Endometrioma of the Abdominal Wall Following Combined Abdominoplasty and Hysterectomy via openalex
- Endometriosis in abdominal scars: a diagnostic pitfall. via openalex
- Endometriosis in Abdominal Scars: A Report of Three Cases Diagnosed by Fine-Needle Aspiration Biopsy via openalex
- Endometriosis in abdominal scars - review of 27 cases via openalex
- [Endometriosis in surgical scars after cesarean section comparison of the operative methods]. via openalex
- Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations via openalex
- Leuprolide acetate in the management of cesarean scar endometriosis via openalex
- Presentation of endometriosis to general surgeons: A 10-year experience via openalex
- [Sequelae in 4122 cases of cesarean section]. via openalex
- W2396634286 via openalex
- W2034253010 via openalex
- W1986773747 via openalex
Cited by (7)
- Case series of scar endometriosis- post caeserean section: A diagnostic pitfall 2021
- Scar endometriosis after caesarean section: a case series and review of literature 2016
- Endometriosis of episiotomy scar: a case report 2015
- Post Caesarean Scar Endometriosis 2015
- Scar Endometriosis; A Case Report of this Uncommon Entity and Review of the Literature 2013
- Scar Endometriosis: A Case Report of This Uncommon Entity and Review of the Literature 2013
- Fine‐needle aspiration cytology of scar endometriosis: Study of seven cases and literature review 2010
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