Incisional endometriosis: a report of 3 cases.
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This report describes three women who presented with painful abdominal wall masses, a condition that can be challenging to diagnose but is suggested by cyclic pain related to menses.
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Abstract
Endometriosis is defined as a growth of ectopic endometrial tissue outside the uterine cavity that responds to hormonal stimulation. It occurs most commonly in pelvic sites such as the ovaries, posterior cul-de-sac, ligaments of the uterus, pelvic peritoneum and rectovaginal septum and is found in 8%–15% of all menstruating women. Extrapelvic endometriosis is less common but can affect many sites, including the lungs, appendix, nose, umblicus, peritoneum and even the intestinal wall.1 The most common extrapelvic form of endometriosis is cutaneous endometriosis, mainly in scars following obstetric or gynecologic surgery.2 Surgical scar endometriosis following cesarean section has an incidence of 0.03%–0.4%.3 Because it is often mistaken for a suture granuloma, incisional hernia, lipoma, abscess, cyst or a strange body, diagnosis of this disease is not easy. However, a mass in a cesarean section scar with symptoms of cyclic pain related to menses is nearly pathognomonic. We report the cases of 3 women, aged 32, 22 and 30 years, respectively, who presented with a painful abdominal wall mass.
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References (5)
- Cesarean scar endometriosis via openalex
- Cesarean Scar Endometriosis via openalex
- Cesarean scar endometriosis. A report of two cases. via openalex
- Endometriosis: rare localizations in two cases. via openalex
- W2191109752 via openalex
Cited by (17)
- Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights 2023
- Interpretations on a rare localization of endometriosis: labium minus 2021
- Clinical features, diagnosis, and management of abdominal wall endometriosis: a review 2020
- Scar endometriosis with rudimentary horn: An unusual and elucidative report of a case diagnosed on histopathology and immunohistochemistry 2017
- Abdominal Wall Endometriomas at Cesarean Section Scars: A Case Series 2017
- Diagnosis and Management of Abdominal Wall Endometriosis: A Systematic Review and Clinical Recommendations 2017
- Scar endometriosis: a mimic of acute abdominal emergencies 2017
- Role of fine needle aspiration cytology and cell block in diagnosis of scar endometriosis: A case report 2015
- A RARE CASE OF SCAR ENDOMETRIOSIS FOLLOWING EPISIOTOMY 2014
- Case Report: Surgical Scar Endometriosis Following Caesarean Section 2014
- Endometriose de ferida cirúrgica 2013
- Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases 2013
- Abdominal wall incision scar endometriosis 2013
- Incisional endometriosis: A rare cause for a painful scar - A report and commentary 2012
- Abdominal Wall Endometriosis: Case Report and Review of Litera-ture 2012
- Abdominal scar endometriosis after caesarean section: report of five cases. 2011
- Incisional Endometriosis: Diagnosed by Fine Needle Aspiration Cytology 2010
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