[Endometriosis in the surgical scar from cesarean section].
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This case report details the surgical management and follow-up of cesarean scar endometriosis, a rare condition presenting with cyclical pain and swelling in the surgical site.
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Abstract
The frequency of endometriosis in and around the surgical scar from cesarean section is from 0.03%-0.04% to 0.8% in some reports. It is difficult to be diagnosed, in spite of the typical symptoms: aching swelling in the area of the surgical scar, which is influenced by the phases of menstruation. Sonography and fine-needle biopsy can be used, but it is usually diagnosed through the surgical treatment. Hystological diagnosis can also be a matter of some difficulty, as sometimes it is necessary to differentiate from adenocarcinoma, pseudomyxoma peritonei and metastatic carcinoma. The treatment is surgical. It is examined a case of endometriosis, which occurred in the surgical scar from a cesarean section about a year after the operation. The treatment is surgical by means of wide cutting-out of damaged musculus rectus abdominis and the surrounding tissues. After the operation a seroma is formed, which is healed with aspiration drainage and compressive bandage. Three years after operation a recurrence is not established.
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Cited by (6)
- Incisional endometriosis: A rare cause for a painful scar - A report and commentary 2012
- Abdominal wall and cesarean scar endometriosis: report of a two case 2011
- Karın duvarında endometriosis; vaka sunumu 2009
- Abdominal wall endometriosis. An overlooked diagnosis 2003
- Endometriosis de la pared abdominal tras cirugía ginecológica 2003
- Abdominal scar- Endometriosis 2002
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- europepmc
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- openalex
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- pubmed
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