Incision scar’s endometriosis case that was treated with false diagnosis

Incision scar’s endometriosis case that was treated with false diagnosis Yanlış teşhis ile tedavi edilmiş, bir insizyon skari endometriozisi olgusu DOI: https://doi.org/10.5152/EurJTher.2017.52Keywords: Endometriosis, abdominal-wall’s masses, incision scar’s endometriosisAbstract Endometriosis is defined as the placement of a functional endometrium tissue outside the uterine cavity. Abdominal-wall endometriosis is usually observed after obstetric and gynecological operations. Endometriosis masses located in incision scars can be confused with foreign body reaction, granulomas, abscess, and incisional hernia. A 45-year-old female patient, who had undergone cesarean section 14 years ago, presented to our clinic for pain on the left side of the incision for 6 months and particularly because of the painful mass that grew during menstruation in that region. The patient was misdiagnosed as reactive lymphadenopathy due to fungal and bacterial infections in her toes before presenting to our clinic, and she was treated for a long time with this false diagnosis. On the left side of the Pfannen-Stiel incision, a non-mobile, painful mass of about 2×1 cm, with moderate stiffness, was detected on the physiological examination of the patient. Superficial ultrasonography applied to the region showed lobulated contour, mild heterogeneous hypoechoic, and mild vascularized solid lesion sized 10.4×3.4×10 mm on the left side of the incision line. The patient underwent surgery with an initial diagnosis of endometriosis in the incision scar. The received tissue was sent for pathological examination, and she was diagnosed as endometriosis. Thus, if a mass is detected in the anterior wall of the abdomen in women who had undergone cesarean delivery, the possibility of endometriosis should not be overlooked after the patient’s history has been cautiously taken and physical examination and radiological examinations have been performed. References Buttice S, Lagana AS, Mucciardi G, Marson F, Tefik T, Netsch C, et al. Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis. Arch Ital Urol Androl 2016; 88: 266-9. Barlas D, Bozkurt S, Kaya MA, Çelik F. Scar endometriosis in the rectus abdominis muscle. Ulus Travma Acil Cerrahi Derg 2010; 16: 371-2. Tanrıkulu Y, Temiz A, Özmen SA, Aslan OA. Skar endometriozis: 3 olgu sunumu ve literatürün gözden geçirilmesi. Genel Tıp Derg 2013; 23: 59-62. Bekele D, Kumbi S. Cesarean scar endometriosis-a case report. Ethiop Med J 2009; 47: 171-4. Çetin M, Yıldız Ç, Tuncer E, Karakaya Ö, Eğilmez R. İnsizyonel endometriozis: Olgu sunumu. C.Ü.Tıp Fakültesi Dergisi 2008; 30: 77-81. Fatima K, Khanani S. Scar endometriosis: an entity not to be forgotten. J Pak Med Assoc 2017; 67: 140-2. Gupta P, Gupta S. Scar endometriosis: a case report with literature review. Acta Med Iran 2015; 53: 793-5. Emre A, Akbulut S, Yılmaz M, Bozdag Z. Laparoscopic trocar port site endometriosis: a case report and brief literature review. Int Surg 2012; 97: 135-9. Downloads Published How to Cite Issue Section License Copyright (c) 2023 European Journal of Therapeutics This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. The content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.