Abdominal Wall Endometriosis after Cesarean Section: A Report of Two Cases.

Hong, Hye Jin; Chung, Byung Soon; Son, Eun Joo; Yun, Byung Il; Kim, So Jung; Kim, Sang Yun; Chung, Doo Yong

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(1):228-233.
Published online January 1, 2005.

Abdominal Wall Endometriosis after Cesarean Section: A Report of Two Cases.

Hye Jin Hong, Byung Soon Chung, Eun Joo Son, Byung Il Yun, So Jung Kim, Sang Yun Kim, Doo Yong Chung

¹Department of Obstetrics and Gynecology, College of Medicine, Konkuk University, Chungju, Korea. doochung@hanmail.net
²Department of Pathology, College of Medicine, Konkuk University, Chungju, Korea. doochung@hanmail.net

Abstract

Extrapelvic endometriosis remains quite rare phenomenon. The majority of extrapelvic endometriosis involve scar tissue following obstetric/gynecologic procedures. Endometriosis involving a cesarean section scar may be more common than previously recongnized. The classic symptom is a painful scar that became swollen and more tender during menstruation. The cause of surgical scar endometriosis is believed to be iatrogenic transplantation of endometrial tissue to the surgical wound. The surgical excision remains the treatment of choice for expected cures and presents the most appropriate diagnostic and therapeutic intervention. We present two cases of endometriosis appearing on the abdominal wall scar of cesarean section with a brief review of the concerned literatures.

Key Words: Endometriosis, Abdominal scar, Cesarean section