SURGICAL SCAR ENDOMETRIOSIS: A SERIES OF 14 PATIENTS AND BRIEF REVIEW OF LITERATURE

Andrei Mihai Malutan, Andrei Mihai Măluţan, Ioan Şimon, Ioan Simon, Razvan Ciortea, Răzvan Ciortea, Radu Florin Mocan-Hognogi, Marina Dudea, Dan Mihu
Clujul medical (1957) · 2017 · vol. 90(4) , pp. 411–415 · doi:10.15386/cjmed-743 · PMID:29151790 · W2590271630
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This study reviewed fourteen cases of abdominal wall endometriosis, finding a strong association with prior cesarean sections and frequent preoperative diagnostic challenges.

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Abstract

BACKGROUND AND AIMS: Endometriosis is a commonly encountered disorder in women of reproductive age, consisting of the presence of active ectopic endometrial tissue outside the endometrial cavity. Surgical scar endometriosis is a rare condition representing about 2% of all endometriosis cases. The purpose of this study was to assess the main characteristics, diagnostic tools and therapeutic options in abdominal wall endometriosis (AWE). METHODS: We have reviewed a series of fourteen cases with histopathological confirmation of AWE that were managed in our institution. RESULTS: The main characteristic of AWE were emphasized, showing that 78.57% of the patients had at least one previous caesarian section and that in only 57.14% of all cases an accurate diagnosis of AWE was established preoperatively. CONCLUSION: A direct relationship between gynecological and obstetrical surgery and AWE is well established and as the caesarian section rates increase constantly, the awareness regarding AWE should also be increased.
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SURGICAL SCAR ENDOMETRIOSIS: A SERIES OF 14 PATIENTS AND BRIEF REVIEW OF LITERATURE DOI: https://doi.org/10.15386/cjmed-743Keywords: endometriosis, caesarian section, surgical scar, abdominal wallAbstract Background and aims. Endometriosis is a commonly found disorder in women of reproductive age, consisting in the presence of active ectopic endometrial tissue outside of the endometrial cavity. Surgical scar endometriosis is a rare condition representing about 2% of all endometriosis cases. The purpose of this study was to assess the main characteristics, diagnosis tools and therapeutic options in abdominal wall endometriosis (AWE). Methods. We have reviewed a series of fourteen cases with histopathological confirmation of AWE that were managed in our institution. Results. The main characteristic of AWE were emphasiszed, showing that 78.57% of the patients had at least one previous caesarian section and that in only 57.14% out of ol case an accurate diagnosis of AWE was established preoperatively. Conclusion. A direct relationship between gynecological and obstetrical surgery and AWE is well established and as the caesarian section rates increase constantly, the awareness regarding AWE should also be increased. Downloads Published How to Cite Issue Section License The authors are required to transfer the copyright of the published paper to the journal. This is done by agreeing to sign the Copyright Assignment Form. Whenever the case, authors are also required to send permissions to reproduce material (such as illustrations) from the copyright holder. The papers published in the journal are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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