Two Cases of Endometriosis at the site of Episiotomy Scar and Abdominal Scar following Cesarean Section.

Kang, Kwang Sok; Oh, Jong Yn; Park, Seon Young; Moon, Jeong Beom; Hong, Sang Ki; Lee, Young Ho

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(8):1611-1614.
Published online August 1, 2004.

Two Cases of Endometriosis at the site of Episiotomy Scar and Abdominal Scar following Cesarean Section.

Kwang Sok Kang, Jong Yn Oh, Seon Young Park, Jeong Beom Moon, Sang Ki Hong, Young Ho Lee

Department of Obstetrics and Gynecology, Presbyterian Medical Center, Chon-ju, Korea.

Abstract

The most frequent ectopic locations of endometriosis include, in descending order of frequency, the ovaries, uterine ligaments, the rectovaginal septum, and peritoneum covering the pelvic organs, that is, uterus, fallopian tubes, rectum, sigmoid colon, and bladder. Endometriosis at the site of episiotomy scar and abdominal scar following cesarean section are very rare conditions among the extrapelvic endometriosis. We have experienced two cases of endometriosis. One occurred from episiotomy scar and the other occurred from abdominal scar following cesarean section. The diagnosis of scar endometriosis is suggested if the symptoms are cyclic or in association with the patient's menstrual cycle. We can use ultrasonography, computerized tomography, magnetic resonance imaging to differentiate from other tumors. Surgical excision is the method of choice for diagnosis and treatment. We report the two cases with review of rare extrapelvic endometriosis.

Key Words: Scar endometriosis, Episiotomy scar, Abdominal scar