Scar endometriosis after caesarean section: A rare surgical complication

İsmail Çetinkaya, Mehmet Tolga Kafadar, Bahar Memiş
Abant Medical Journal · 2019 · vol. 8(3) , pp. 180–183 · doi:10.5505/abantmedj.2019.85579 · W2990546245
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This case report describes a 26-year-old woman who developed scar endometriosis at her cesarean section incision site three years post-surgery, which was successfully treated with surgical excision and confirmed by histopathology.

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This paper presents a case report of scar endometriosis developing at the site of a previous caesarean section, highlighting it as a rare surgical complication. The authors review existing literature to discuss the clinical presentation, diagnostic challenges, and management strategies for this specific form of extragenital endometriosis. They emphasize the importance of considering this diagnosis in patients with cyclical pain or masses near surgical scars following delivery via caesarean section. This paper is centrally about endometriosis — specifically the occurrence of scar endometriosis following caesarean section.

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Abstract

Endometriozis, fonksiyonel endometrium bez ve stromanın, uterin kavite dışında büyümesidir. Skar endometriozis oldukça nadir görülen bir hastalık olup, teşhisi operasyon materyalinin incelenmesiyle konulur. Geçirilmiş jinekolojik operasyon ve laparoskopi sonrası trokar yerinde ve amniyosentez sonrasında skar dokusunda endometriozis saptanabilmektedir. Skar endometriozisi sezaryen başta olmak üzere yapılan jinekolojik girişimler sonrası, insizyon skar dokusunda veya komşuluğunda gelişebilen endometrium bez ve stromasından oluşan bir kitledir. Bu olguda, insizyon skarının lateralinde, çevre dokulara yerleşmiş skar kitlesi olan, üç yıl önce sezaryen ile doğum yapmış 26 yaşında kadın olgu sunuldu. Operasyonda eksizyonla tedavi edilen hastanın histopatolojik incelemesi endometriozis olarak rapor edildi.
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References

- Spaczynski RZ, Duleba AJ. Diagnosis of endometriosis. Semin Reprod Med 2003; 21(2): 193-208. - Duleba AJ. Diagnosis of endometriosis. Obstet Gynecol Clin North Am 1997; 24(2): 331-46. - Wolf G, Singh K. Cesarean scar endometriosis: A review. Obstet Gynecol Surv 1989; 44(2): 89–95. - Cevrioğlu AS, Yılmaz S, Yılmazer M, Tokyol Ç. Sezeryan skarında endometriozis; Olgu Sunumu ve Literatürün Gözden Geçirilmesi. T Klin Jin Obstet Derg 2004; 14(1): 44-7. - Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril 2012;98(3):511-9. - Khoo JJ. Scar endometriosis presenting as an acute abdomen: a case report. Aust NZ J Obstet Gynecol 2003;43(2):164-5. - Douglas C, Rotimi O. Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol 2004;24(7):804-8. - Kocher M, Hardie A, Schaefer A, McLaren T, Kovacs M. Cesarean-Section Scar Endometrioma: A Case Report and Review of the Literature. J Radiol Case Rep 2017;11(12):16- 26. Details Primary Language Turkish Subjects - Journal Section - Publication Date September 1, 2019 Submission Date - Acceptance Date - Published in Issue Year 2019 Volume: 8 Number: 3

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endometriosis

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