Endometriosis of the uterine cesarean section scar: A case report

In: Indian Journal of Radiology and Imaging · 2008 · vol. 18(1) , pp. 66 · doi:10.4103/0971-3026.37111 · W2055900438
article OA: diamond CC0 ⤵ 13 in-corpus citations
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This case report describes endometriosis found within a uterine cesarean section scar, presenting as a mass in the anterior lower uterus.

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Abstract

Endometriosis is defined as the presence of functional endometrial tissue outside the uterine cavity.[1,2] The most common sites of involvement, in decreasing order of frequency, are the ovaries, pelvic peritoneum, deep pelvic subperitoneal spaces, the intestinal system, and the urinary system.[1] Scar endometriosis is a rare disease which is difficult to diagnose.[3,4] The diagnosis is frequently made only after excision and histopathology of the lesion. Cases of scar endometriosis of the abdominal wall following various obstetrical and gynecological procedures have been reported.[2–4] However, endometriosis of a uterine scar is extremely rare.[2] Kafkasli et al.[2] after reviewing the pathology reports of hysterectomy specimens of the previous seven years, found only two cases of endometriosis in uterine wall Cesarean section scars. One of these two cases had adenomyosis of the uterus in addition to endometriosis of the uterine scar. We report a case of endometriosis of a uterine wall scar, presenting as a mass in the anterior lower part of uterus.

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endometriosisadenomyosis

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