SCAR ENDOMETRIOSIS-A RISING ENTITY IN GYNAECOLOGY: CASE SERIES AND REVIEW LITERATURE

In: PARIPEX INDIAN JOURNAL OF RESEARCH · 2024 · pp. 13–18 · doi:10.36106/paripex/7100540 · W4399050668
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This case series and literature review presents three management approaches for scar endometriosis, a rare condition often diagnosed late due to nonspecific symptoms, with most reported cases treated surgically.

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Abstract

The presence of endometrial tissue outside the cavity of uterus which is fuctional is described as Endometriosis. Endometriosis over previous scar due to gynaecological and obstetrical surgeries is rare and due to nonspecific symptoms, its diagnosis is difficult. It can present with dysmenorrhoea, chronic pelvic pain, dyspareunia or mass in the abdominal incision during menses. Here we report three cases which were managed by different modalities. First case was of scar endometriosis over previous pfannensteil LSCS scar site whose diagnosis was confirmed by USG guided FNAC. Patient was managed on oral Progesterone till she conceived 1 year later when wide excision of the mass was done during LSCS. Second case was managed surgically and third case was managed medically. The literature review of published literature of management of Scar endometriosis is also presented. Most of the cases were managed surgically with only one case managed medically

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareunia

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