A Case of Cesarean Scar Endometriosis. |
So Young Kwon, Hong Seok Lee, Du Sik Kong, Geon Ho Lee, In Hyun Kim |
Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea. |
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Abstract |
Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric or gynecologic procedures. Abdominal wall endometriosis secondary to cesarean section is a very rare condition, being reported in less than 0.5% of patients undergoing cesarean section. It has a distinct presentation and treatment. An abdominal mass with noncyclical symptoms is a common presentation. Imaging techniques are nonspecific and needle biopsy may confirm the diagnosis. Wide excision is the treatment of choice for abdominal wall endometriosis as well as for recurrent lesions. A patient with a history of cesarean section presented with a painful, enlarging mass. The pain was cyclic and aggravated just prior to menstruation. The patient was treated with surgical scar excision pathologically confirmed as endometriosis. We present this case with a brief review of literature. |
Key Words:
Endometriosis, Scar, Cesarean section |
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