A Case Series on Management Of Scar Endometriosis Following C-Section At A Teritary Health Care Centre

Tejashwini A N, Mahendra G, Subbappa K
2024 · doi:10.5281/zenodo.13910099 · W6949607503
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This case series studied patients with scar endometriosis following cesarean section at a tertiary care center and describes their management and overall outcomes, emphasizing early diagnosis and prompt treatment. The paper frames endometriosis as endometrial glands and stroma outside the uterine cavity and presents findings through individual cases rather than a comparative study design. A stated limitation is that the work is based on a small case series, which limits generalizability beyond the reported patients. This paper is centrally about endometriosis — specifically management and outcomes of cesarean-scar endometriosis.

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Abstract

Endometriosis was first described by Karl Von Rokitansky in 1860. It is a chronic gynecologic disorder where the functional and morphological endometrial glands and stroma are present outside the uterine cavity. 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 .Hereby presenting a case series of patients with scar endometriosis and its management. Overall outcome of the case with scar endometriosis with early diagnosis with prompt management is highlighted in these studies.
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Abstract

(English) Endometriosis was first described by Karl Von Rokitansky in 1860. It is a chronic gynecologic disorder where the functional and morphological endometrial glands and stroma are present outside the uterine cavity. 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 .Hereby presenting a case series of patients with scar endometriosis and its management. Overall outcome of the case with scar endometriosis with early diagnosis with prompt management is highlighted in these studies. Files IJPCR,Vol16,Issue9,Article159.pdf Files (999.2 kB) | Name | Size | Download all | |---|---|---| | md5:d75966a78b9f39ea020cc3bbdcf37f73 | 999.2 kB | Preview Download | Additional details Dates - Accepted - 2024-08-26 Software - Repository URL - https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue9,Article159.pdf - Development Status - Active

References

- 1. American College of Obstetricians and Gynecologists, "Practice bulletin no. 114: management of endometriosis," Obstetrics & Gynecology, vol. 116, no. 1, pp. 223–236, 2010. 2. 2.Bazot M, Darai E, Hourani R, Thomassin I, Cortez A, Uzan S, et al. Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology. 2004; 232:379–89 3. Advincula A, Truong M, Lobo RA. Endometriosis:Etiology, Pathology, Diagnosis, Management. 7 ed. Comprehensive Gynecology. Elsevier; 2019: 423-442 4. Cinardi N, Franco S, Centonze D, Giannone G. Perineal scar endometriosis ten years after Miles ' procedure for rectal cancer: Case report and review of the literature. Int J Surg Case Rep.2018; 2(6):150-3. 5. Committee on Practice Bulletins-Gynecology, Falcone T, Lue JR: Practice Bulletin No. 114: management of endometriosis. Obstet Gynecol. 2010, 116:223-36. 10.1097/AOG.0b013e3 181e8b073 6. Santosh T, Patro MK: Cytodiagnosis of scar endometriosis: a case series. J Case Rep Images Pathol. 2016, 2:29-32. 7. Lahiri AK, Sharma K, Busiri N. Endometriosis of the uterine cesarean section scar: A case report. Indian J Radiol Imaging. 2008 Feb; 18(1):66–8. doi: 10.4103/0971-3026.37111. PMCID: PMC2766896. 8. 8.E. M. Oh, W. Lee, J. M. Kang, S. T. Choi, K. K. Kim, and W. K. Lee, "A surgeon's perspective of abdominal wall endometriosis at a caesarean section incision: nine cases in a single institution," Surgery Research and Practice, vol. 2014, Article ID 765372, 4 pages, 2014. 9. G. Picod, L. Boulanger, F. Bounoua, F. Leduc, and G. Duval, "Abdominal wall endometriosis after caesarean section: report of fifteen cases," Gynecologie Obstetrique Fertilite, vol. 34, no. 1, pp. 8–13, 2006. 10. S. Minaglia, D. R. Mishell Jr., and C. A. Ballard, "Incisional endometriomas after cesarean section: a case series," Journal of Reproductive Medicine, vol. 52, no. 7, pp. 630–634, 2007. 11. T. Wasfie, E. Gomez, S. Seon, and B. Zado, "Abdominal wall endometrioma after cesarean section: a preventable complication," International Surgery, vol. 87, no. 3, pp. 175–177, 2002.

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