Successful pregnancy after excision of cesarean scar endometriosis with uterovesicocutaneous fistula: A rare case report

Pooja S. Tandon, Sunil Kumar Juneja, Pooja Tandon, SunilKumar Juneja, Isha Chopra
International journal of applied & basic medical research · 2016 · vol. 6(4) , pp. 300 · doi:10.4103/2229-516x.192586 · PMID:27857904 · W2538094470
article OA: closed CC0 ⤵ 6 in-corpus citations
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This case report details the successful surgical management of scar endometriosis with a uterocutaneous fistula, leading to a subsequent spontaneous pregnancy.

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Abstract

Scar endometriosis is an infrequent type of extrapelvic endometriosis. The most common extrapelvic form of endometriosis is cutaneous endometriosis, involving scar tissues occurring after obstetric or gynecologic procedures such as episiotomy, hysterotomy, cesarean section, and even laparoscopic surgery. The clinical presentation of scar endometriosis, i.e., tender swellings, mimics other dermatological and/or surgical conditions and delays the diagnosis. Scar endometriosis very rarely can get complicated with uterocutaneous fistula with a reported incidence of very few cases in world literature. We report a case of a 36-year-old woman presenting with scar endometriosis with complicated uterocutaneous fistula 11 years after her last lower segment cesarean section, managed successfully with laparotomy-fistulectomy and sleeve resection of the bladder with repair followed by successful subsequent spontaneous conception and pregnancy terminated by lower segment cesarean section.

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Condition tags

endometriosis

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License: CC0 · commercial use OK