Incisional Endometriosis after Cesarean Section: A Case Report
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This case report describes a patient who developed a painful mass of scar endometriosis seven years after a Cesarean section, highlighting surgical excision as the optimal management.
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Abstract
Endometriosis is a disorder in which abnormal growths of tissue, histologically resembling the endometrium, are present in locations other than the uterine lining. Endometriosis is most commonly observed in the dependent portions of the pelvis, most frequently on the ovaries, followed by the anterior and posterior cul-de-sacs, the uterosacral ligaments, the posterior uterus, and the posterior broad ligaments. It is known that endometriosis can occur in scar tissue after a Cesarean section, an appendectomy, laparoscopy through trocar sites and amniocentesis. In our case, the cyclic painful mass about 3 cm x 2 cm on the right side of the scar underskin developed 7 years after the patient's last cesarean section. Management of scar endometriosis usually includes both surgery and hormonal suppression. Optimal management is by extensive surgical excision with care to remove all affected tissue. (Journal of Endometriosis 2010; 2: 45–6)
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